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Julianna Maynor, NURSEPRACTITIONER
Pediatric Nurse Practitioner in Mullins, South Carolina
NPI 1093049470

Julianna Maynor is a Pediatric Nurse Practitioner based in Mullins, SC and is specialized in Pediatrics. Julianna Maynor practices in Mullins, SC and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Julianna Maynor is 1093049470 and holds a License No. 3872 (South Carolina).

The current practice location address for Julianna Maynor is 2845 E Highway 76, Mullins, SC and can be reached out via phone at 843-431-2650 and via fax at 843-431-2647.

Location: 2845 E Highway 76, Mullins, SC, 29574-6037
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Provider Profile Details
NPI Number
1093049470
Provider Name
Julianna Maynor
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
2845 E Highway 76, Mullins, SC, 29574-6037
Phone Number
843-431-2650
Fax Number
843-431-2647
Provider Enumeration Date
10/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP5462 01 SC MEDICAID GROUP
RHC 121 05 SC
NP0619 05 SC
institution
Provider Business Practice Location Address Details
Address
2845 E Highway 76
City
State
Zip
29574-6037
Phone Number
843-431-2650
Fax Number
843-431-2647
person
Provider Business Mailing Address Details
Address
2845 E Highway 76
City
State
Zip
29574-6037
Phone Number
843-431-2650
Fax Number
843-431-2647
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
3872 (South Carolina)
Definition
Definition to come...
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