SEAN E MAYNARD

TAYLOR REGIONAL MEDICAL GROUP, LLC

Dr SEAN E MAYNARD is a male medical professional, specializing in Physician Assistant. He graduated in 2000.

Contact

TAYLOR REGIONAL MEDICAL GROUP, LLC

67 KINGSWOOD DR
CAMPBELLSVILLE
KY
427189647

Tel: 2708492379

SEAN E MAYNARD Information

Npi 1962494716
Pac Id 7113059783
Professional Enrollment Id I20100716000526
Last Name MAYNARD
First Name SEAN
Middle Name E
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TAYLOR REGIONAL MEDICAL GROUP, LLC
Group Practice Pac Id 4880616622
Number Of Group Practice Members 58
Line 1 Street Address 67 KINGSWOOD DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CAMPBELLSVILLE
State KY
Zip Code 427189647
Phone Number 2708492379
Hospital Affiliation Ccn 1 180087
Hospital Affiliation Lbn 1 TAYLOR REGIONAL HOSPITAL
Hospital Affiliation Ccn 2 180149
Hospital Affiliation Lbn 2 TJ HEALTH COLUMBIA
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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