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NPI Code Detail

MEDICARE: SOUTHERN MAINE TMS LLC

MEDICARE: SOUTHERN MAINE TMS LLC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1750684825
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN MAINE TMS LLC
Provider Business Mailing Address
First Line : 9 OLD SAWMILL LN
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8164
Country : US
Telephone Number : 207-985-8998
Fax Number : 207-985-1281
Provider Business Practice Location Address
First Line : 9 OLD SAWMILL LN
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8164
Country : US
Telephone Number : 207-985-8998
Fax Number : 207-985-1281
Authorized Official
Title or Position : PSYCHIATRIST
Name : DR. DAVID PAUL JONES
Credential : D.O.
Telephone Number : 207-985-8998
Provider Enumeration Date : 12/13/2010
Last Update Date : 12/13/2010

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Directions to “SOUTHERN MAINE TMS LLC ” Practice Location

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