Individual provider · Type 1 NPI

Samuel Louis Maynard, MD

Diagnostic Radiology Physician · Knoxville, TN

NPI number 1629075072 Active

Practice location

4820 Old Kingston Pike
Knoxville, TN 37919-6424

Call (865) 558-9862 Map

Fax (865) 584-3478

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X34093 (TN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1629075072

Samuel Louis Maynard, MD's National Provider Identifier is 1629075072, issued on Jun 30, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Knoxville, TN. The record was last updated on Mar 30, 2026.