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NPI Code Detail

MEDICARE: DR. EUGENE H MAYNARD JR. M.D.

MEDICARE: DR. EUGENE H MAYNARD JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician9401448NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740216506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EUGENE H MAYNARD JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 399
Second Line :
City : BENSON
State : NC
Zip : 27504-0399
Country : US
Telephone Number : 919-894-2011
Fax Number :
Provider Business Practice Location Address
First Line : 3333 NC HIGHWAY 242 N
Second Line :
City : BENSON
State : NC
Zip : 27504-7844
Country : US
Telephone Number : 919-894-2011
Fax Number : 919-894-7645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 04/01/2021

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