Provider Demographics
NPI:1962672055
Name:MILES D. HYMAN, MD PA
Entity Type:Organization
Organization Name:MILES D. HYMAN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MILES
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:HYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-369-1975
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900258208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1189AOtherBLUECROSS BLUESHIELD
NC891189AMedicaid
NCC17284Medicare UPIN
NC2277275BMedicare PIN