Individual
JOHN CARL HYDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
43649
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007306058
—
MS
05
—
07306058
—
MS
05
—
100174639
—
MS
05
—
1514236
—
TN
05
—
185163001
—
AR
Enumeration date
02/14/2007
Last updated
10/05/2022
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