Individual
DR. JOHN C SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 WATER STREET, BLUE HILL, ME 04614
(207) 374-3473
(207) 374-3989
Mailing address
57 WATER STREET, BLUE HILL, ME 04614
(207) 374-3473
(207) 374-3989
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD15937
ME
Other
Enumeration date
09/21/2006
Last updated
08/02/2013
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