Individual
CAROL TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 MARQUIS RD, FREEPORT, ME 04032-6477
(207) 865-6131
(207) 865-9399
Mailing address
50 MARQUIS RD, FREEPORT, ME 04032-6477
(207) 865-6131
(207) 865-9399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA486
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294450099
—
ME
05
—
30336096
—
NH
Enumeration date
10/05/2006
Last updated
12/23/2014
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