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NPI Code Detail

MEDICARE: MRS. BETTY RUTH HESTER HS

MEDICARE: MRS. BETTY RUTH HESTER HS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1104954825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETTY RUTH HESTER HS
Provider Business Mailing Address
First Line : 3191 OAK RIDGE RD
Second Line :
City : PALMYRA
State : TN
Zip : 37142-2338
Country : US
Telephone Number : 931-326-5198
Fax Number :
Provider Business Practice Location Address
First Line : 118 UNION ST
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-5115
Country : US
Telephone Number : 931-647-8257
Fax Number : 931-647-2978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. BETTY RUTH HESTER HS” Practice Location

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