Organization
JON L. HYMAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LAWRENCE HYMAN M.D. (PRESIDENT)
(770) 363-8770
Entity
Organization
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD NE, SUITE 220, ATLANTA, GA 30342-1725
(770) 363-8770
(404) 287-6639
Mailing address
PO BOX 29965, ATLANTA, GA 30359-0965
(770) 363-8770
(404) 287-6639
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
040834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011880
UHC
GA
01
—
7338226
AETNA
GA
Enumeration date
12/05/2007
Last updated
04/24/2008
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