Provider profile

Individual

Samuel Louis Maynard

Radiology in Knoxville, TN. NPI 1629075072, listed in the CMS NPI Registry since 06/30/2005. Bills Medicare.

NPI 1629075072Specialty RadiologyEnumerated 06/30/2005
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Registry and Medicare facts

Practice location
4820 Old Kingston Pike, Knoxville, TN 37919
CMS NPI Registry
Phone
(865) 558-9862
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
06/30/2005
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,738 Part B
CMS Medicare 2024

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