Individual
EDWARD MAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
615 KANUGA RD, HENDERSONVILLE, NC 28739-5227
(828) 696-9411
Mailing address
615 KANUGA RD, HENDERSONVILLE, NC 28739-5227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079MH
BCBS
NC
Enumeration date
02/24/2007
Last updated
02/29/2008
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