Individual
MR. SIDNEY L MYLES
Active
Individual
MR. SIDNEY L MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200501179
NC
2084P0800X
Psychiatry Physician
200501179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140N5
BCBS
NC
01
—
511804
MANAGED HEALTH NETWORK
—
05
—
5901852
—
NC
01
—
600019014
MAGELLAN
—
01
—
P00839051
RAILROAD MEDICARE
NC
Enumeration date
04/19/2006
Last updated
02/19/2015
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