Donald Maynard in Conyers - Surgery

Donald Maynard - NPI 1194772749

Donald Maynard is a Surgery in Conyers, Georgia. Donald Maynard practices all healthcare services and medical treatments related to Surgery. The NPI Number for Donald Maynard is 1194772749. The last update date is 2012-07-17.

Donald Maynard's current location address is 1612b Milstead Rd Ne, Conyers, Georgia. You can contact this provider via phone number 7706021292 and fax number 7706021296. The mailing address for Donald Maynard is 1612b Milstead Rd Ne, Conyers, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Maynard
Address 1612b Milstead Rd Ne, Conyers, Georgia
Phone Number 7706021292
Fax Number 7706021296
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1194772749
Provider Enumeration Date 2006-05-28
Last Updated Date 2012-07-17

Provider Mailing Address Detail

Address 1612b Milstead Rd Ne
City Conyers
State Georgia (GA)
Post Code 300123738
Phone Number 7706021292
Fax Number 7706021296

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 52463
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1668867111A GA --

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FAQs about Donald Maynard

What is the Donald Maynard's unique identification number?

The Donald Maynard has been assigned the NPI (National Provider Identifier) Number 1194772749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Donald Maynard is physically located?

The Donald Maynard is physically situated at the following address: 1612B Milstead Rd Ne, Conyers, GA, 300123738.

What is Donald Maynard's specialized field of practice, and what is the corresponding taxonomy classification code?

The Donald Maynard's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Donald Maynard receive its 1194772749 assignment from the Centers for Medicare & Medicaid Services?

The Donald Maynard was assigned its 1194772749 by the Centers for Medicare & Medicaid Services on 2006-05-28.

When was the information related to Donald Maynard most recently updated or refreshed?

The details pertaining to the Donald Maynard, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-17.

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