Individual
SAMUEL JOHN MAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
501 FOREST LN STE A, CLEMSON, SC 29631-2621
(864) 654-2001
(800) 305-7112
Mailing address
PO BOX 616, MARIETTA, SC 29661-0616
(864) 214-4431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6703
SC
Other
Enumeration date
01/02/2023
Last updated
01/06/2026
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