Individual
TED HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3715 VINEVILLE AVE, MACON, GA 31204-1854
(478) 474-8040
(478) 474-8048
Mailing address
3715 VINEVILLE AVE, MACON, GA 31204-1854
(478) 474-8040
(478) 474-8048
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
GA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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