Individual
MAX TODD HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1680 WESTBROOK AVE, BURLINGTON, NC 27215-9700
(336) 375-6990
(339) 375-0361
Mailing address
2001 N CHURCH ST, GREENSBORO, NC 27405-5633
(336) 375-6990
(336) 375-0361
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803U
BCBS
—
05
—
890803U
—
NC
01
—
95363
MEDCOST
—
Enumeration date
09/14/2006
Last updated
02/28/2024
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