Individual
MR. SIDNEY L MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 15TH ST NE, SUITE 100, HICKORY, NC 28601-4161
(828) 325-0555
(828) 267-7555
Mailing address
PO BOX 1447, HICKORY, NC 28603-1447
(828) 325-0555
(828) 267-7555
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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