Maynard, James Lewis

Maynard, James Lewis is an individual health care provider with primary practice located at 222 S Herlong Ave , Rock Hill SC 29732-1158. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Maynard, James Lewis can be contacted via phone (803) 329-1234.

Contact Information

Primary practice address
222 S Herlong Ave Rock Hill SC 29732-1158
Phone: (803) 329-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7316 South Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 7316 South Carolina

Profile Details

NPI number 1679565196
LBN Legal business name Maynard, James Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679565196 NPPES
South Carolina MEDICAID 073164
South Carolina Other 27689

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