SearchGeorgia376K00000X

Tina Maynor

NPI 1588065916 · on the registry since 2014 · sole proprietor

Practice

Address
24 Millwood Lake Dr
Pooler, GA 31322
Phone
(706) 573-0119

Registry record

Primary taxonomy
376K00000X
376K00000X
Sex
Female
Record last updated
2014-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia