MEDICARE: CARMELLA HESTER

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
1	172A00000X	Driver		GA

General Provider Information

NPI Number	:	1659226736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELLA HESTER

Provider Business Mailing Address
First Line	:	4102 HIGHWAY 5
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30135-3532
Country	:	US
Telephone Number	:	770-949-2119
Fax Number	:

Provider Business Practice Location Address
First Line	:	4102 HIGHWAY 5
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30135-3532
Country	:	US
Telephone Number	:	770-949-2119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ CARMELLA HESTER ” Practice Location

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