Individual
PAULA W GREENLEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
77 SEWALL ST, AUGUSTA, ME 04330-6328
(207) 622-5902
(207) 623-4585
Mailing address
77 SEWALL ST, AUGUSTA FAMILY PHYSICIANS, AUGUSTA, ME 04330-6328
(207) 622-5902
(207) 623-4585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01577
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253900099
—
ME
Enumeration date
02/23/2006
Last updated
08/01/2008
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