Individual
DR. JAYNE PATRICE MAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2905 N ELM ST, LUMBERTON, NC 28358-2982
(910) 738-8154
(910) 671-8818
Mailing address
2905 N ELM ST, P O BOX 2370, LUMBERTON, NC 28358-2982
(910) 738-8154
(910) 671-8818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40036
NC
207L00000X
Anesthesiology Physician
40036
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
40036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5523B
BCBS/STATE
NC
05
—
895523B
—
NC
05
—
N40036
—
SC
Enumeration date
07/20/2005
Last updated
02/04/2010
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