Provider Demographics
NPI:1164523536
Name:HYMAN, RONALD ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALAN
Last Name:HYMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 ALEX LN
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-2235
Mailing Address - Country:US
Mailing Address - Phone:706-790-2011
Mailing Address - Fax:
Practice Address - Street 1:100 MYRTLE BLVD
Practice Address - Street 2:GRACEWOOD BLDG 103B
Practice Address - City:GRACEWOOD
Practice Address - State:GA
Practice Address - Zip Code:30812-1500
Practice Address - Country:US
Practice Address - Phone:706-790-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0446362084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA8877Medicaid
GA8877Medicaid
134285Medicare UPIN