Individual
MR. BOBBY E. HYMAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
504 GREEN ST E, WILSON, NC 27893-4176
(252) 291-5585
Mailing address
120 WILLOW DR, CHOCOWINITY, NC 27817-9501
(252) 402-9906
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2222
—
NC
Enumeration date
10/05/2010
Last updated
10/05/2010
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