Provider Demographics
NPI:1730354002
Name:HESTER, WILLIE EDWARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIE
Middle Name:EDWARD
Last Name:HESTER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6012 BAYFIELD PKWY # 191
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-7597
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:288 S RIDGECREST AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2838
Practice Address - Country:US
Practice Address - Phone:828-286-5000
Practice Address - Fax:828-286-5494
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2021-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2007-01664207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5911907Medicaid
SCG01662Medicaid
NC5911907Medicaid