Provider Demographics
NPI:1407860638
Name:HYMAN, MILES D (MD)
Entity Type:Individual
Prefix:
First Name:MILES
Middle Name:D
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:PO BOX 509
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28744-0509
Mailing Address - Country:US
Mailing Address - Phone:828-369-1975
Mailing Address - Fax:828-369-7920
Practice Address - Street 1:1018 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2676
Practice Address - Country:US
Practice Address - Phone:828-369-1975
Practice Address - Fax:828-369-7920
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900258208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891189AMedicaid
NCC17284Medicare UPIN
NC891189AMedicaid