Maynard, Donald
Maynard, Donald is an sole proprietor health care provider with primary practice located at 1612B Milstead Rd Ne , Conyers GA 30012-3738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Maynard, Donald can be contacted via phone (770) 602-1292.Contact Information
Primary practice address
1612B Milstead Rd Ne
Conyers GA 30012-3738
Phone: (770) 602-1292
Fax: (770) 602-1296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 052463 | Georgia |
Profile Details
| NPI number | 1194772749 |
|---|---|
| LBN Legal business name | Maynard, Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2006 |
| Last updated | May 7th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194772749 | NPPES |
| Georgia | MEDICAID | 1668867111A |
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