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General NPI Number Information
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NPI Number | 1841472461
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Entity Type | Organization
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Legal Business Name | JON L. HYMAN, MD, PC
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 5667 PEACHTREE DUNWOODY RD NE SUITE 220
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City | ATLANTA
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State | GA
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Zip | 30342-1725
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Country | US
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Telephone | 770-363-8770
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Fax | 404-287-6639
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Provider Business Mailing Address
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Address Line | PO BOX 29965
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City | ATLANTA
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State | GA
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Zip | 30359-0965
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Country | US
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Telephone | 770-363-8770
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Fax | 404-287-6639
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JON LAWRENCE HYMAN
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Credential | M.D.
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Telephone | 770-363-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 040834
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License Number State | GA
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