Individual
JON LAWRENCE HYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1462 MONTREAL ROAD, SUITE 101, TUCKER, GA 30084-6929
(770) 363-8770
(770) 436-8042
Mailing address
PO BOX 29965, ATLANTA, GA 30359-0965
(770) 363-8770
(770) 436-8042
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
040834
GA
207X00000X
Orthopaedic Surgery Physician
Primary
40834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00897641C
—
GA
01
—
2011880
UHC
GA
01
—
6684661
CIGNA
GA
01
—
7338226
AETNA
GA
Enumeration date
09/29/2005
Last updated
08/20/2015
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