person
Samuel Louis Maynard, MD
Diagnostic Radiology Physician in Knoxville, Tennessee
NPI 1629075072

Samuel Louis Maynard is a Diagnostic Radiology Physician based in Knoxville, TN and is specialized in Diagnostic Radiology. Samuel Louis Maynard practices in Knoxville, TN and has the professional credentials of MD. The NPI Number for Samuel Louis Maynard is 1629075072 and holds a License No. 34093 (Tennessee).

The current practice location address for Samuel Louis Maynard is 1112 E Weisgarber Rd Ste 102, Knoxville, TN and can be reached out via phone at 865-558-9862 and via fax at 865-584-3478.

Location: 1112 E Weisgarber Rd Ste 102, Knoxville, TN, 37909-2647
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Provider Profile Details
NPI Number
1629075072
Provider Name
Samuel Louis Maynard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1112 E Weisgarber Rd Ste 102, Knoxville, TN, 37909-2647
Phone Number
865-558-9862
Fax Number
865-584-3478
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3706632 01 TN MEDICARE GROUP #
3852807 05 TN
3852806 05 TN
institution
Provider Business Practice Location Address Details
Address
1112 E Weisgarber Rd Ste 102
City
State
Zip
37909-2647
Phone Number
865-558-9862
Fax Number
865-584-3478
person
Provider Business Mailing Address Details
Address
1112 E Weisgarber Rd Ste 102
City
State
Zip
37909-2647
Phone Number
865-558-9862
Fax Number
865-584-3478
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
34093 (Tennessee)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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