Individual ProviderJohn MaynardPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address209 Saint James Ave # B2, Goose Creek, SC 29445-2998(843) 793-4466PECOS EnrollmentBased on the most recent information from CMS, provider John Maynard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578017877Provider TypeIndividualFull NameMaynard, JohnGenderMaleSole ProprietorNoEnumeration Date8/4/2016Last Updated8/20/2024Contact InformationPractice LocationPractice Address209 Saint James Ave # B2, Goose Creek, SC 29445-2998Phone(843) 793-4466FaxUnlisted FaxMailing LocationMailing Address209 Saint James Ave Unit B2, Goose Creek, SC 29445-2998Phone(843) 793-4466Fax(843) 793-3786Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8277South Carolina