Individual
MARK ROLAND HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194370000
—
WV
01
—
42018
BCBS
NC
01
—
4242
PARTNERS
NC
01
—
5822087
AETNA
—
05
—
6024335
—
VA
01
—
64206
MEDCOST
NC
05
—
8942018
—
NC
05
—
Q32246
—
SC
Enumeration date
12/13/2005
Last updated
07/19/2010
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