Individual
MR. TODD LAMAR HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3715 VINEVILLE AVE, SUITE B, MACON, GA 31204-1854
(478) 474-8040
(478) 474-8048
Mailing address
1058 WARWICK DR, MACON, GA 31210-1540
(478) 474-8040
(478) 474-8048
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
07/18/2011
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