Southern Maine Gastroenterology, Llc | |
10 Storer St Unit 106 Lafayette Center Kennebunk ME 04043 | |
(207) 467-9156 | |
(207) 467-9157 |
Full Name | Southern Maine Gastroenterology, Llc |
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Speciality | Colon & Rectal Surgery |
Location | 10 Storer St Unit 106, Kennebunk, Maine |
Authorized Official Name and Position | John Thompson (CO OWNER AND PROVIDER) |
Authorized Official Contact | 2074679156 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Maine Gastroenterology, Llc Pmb 2700 4 Scamman St, Suite 19 Saco ME 04072 Ph: (207) 282-4704 | Southern Maine Gastroenterology, Llc 10 Storer St Unit 106 Lafayette Center Kennebunk ME 04043 Ph: (207) 467-9156 |
NPI Number | 1487712733 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1487712733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
208C00000X | Colon & Rectal Surgery | (* (Not Available)) | Primary |
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