Maynor, Peggy F

Maynor, Peggy F is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30064-0000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Maynor, Peggy F can be contacted via phone (770) 277-3056.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30064-0000
Phone: (770) 277-3056
Fax: (855) 204-5244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN071196 Georgia

Profile Details

NPI number 1134102585
LBN Legal business name Maynor, Peggy F
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Apr 14th, 2014 - about 11 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134102585 NPPES
Georgia MEDICAID 000691314A

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