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Individual

MR. HERBERT MAYNARD HESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
620 JL WHITE DRIVE, SUITE 110, JASPER, GA 30143
(706) 692-9080
(706) 692-1199
Mailing address
620 JL WHITE DRIVE, SUITE 110, JASPER, GA 30143
(706) 692-9080
(706) 692-1199

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
8536
NC
225100000X
Physical Therapist
Primary
002799
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00869085C
GA
Enumeration date
06/15/2005
Last updated
10/18/2013
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