# COASTAL MAINE FOOT & ANKLE CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104910926
- **Authorized official:** SHANNON MEREDITH DPM (OWNER)
- **Authorized official phone:** (207) 781-7715

## Contact information

- **Practice address:** 21 NORTHBROOK DR, SUITE B, FALMOUTH, ME 04105-1346
- **Practice address phone:** (207) 781-7715
- **Practice address fax:** (207) 781-5715
- **Mailing address:** PO BOX 2200, AMHERST, NH 03031-4200
- **Mailing address phone:** (207) 781-7715
- **Mailing address fax:** (207) 781-5715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 11/14/2007