Individual
TINA MAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 MILLWOOD LAKE DR, POOLER, GA 31322-4170
(706) 573-0119
Mailing address
230 DUNCAN DR, SAVANNAH, GA 31409-5107
(706) 573-0119
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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