Individual
JOHN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 SAINT JAMES AVE # B2, GOOSE CREEK, SC 29445-2998
(843) 793-4466
Mailing address
209 SAINT JAMES AVE UNIT B2, GOOSE CREEK, SC 29445-2998
(843) 793-4466
(843) 793-3786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8277
SC
Other
Enumeration date
08/04/2016
Last updated
08/20/2024
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