Individual
SHANNON L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
887 CONGRESS ST STE 200, PORTLAND, ME 04102-3166
(207) 771-5549
(207) 771-7834
Mailing address
887 CONGRESS ST STE 200, PORTLAND, ME 04102-3166
(207) 771-5549
(207) 771-7834
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036151111
IL
207V00000X
Obstetrics & Gynecology Physician
042.0016362
VT
207V00000X
Obstetrics & Gynecology Physician
23235
NH
207V00000X
Obstetrics & Gynecology Physician
Primary
MD16521
ME
207V00000X
Obstetrics & Gynecology Physician
MD2012-001
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416350099
—
ME
Enumeration date
07/07/2005
Last updated
05/13/2026
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