Organization
MERIDETH C NORRIS PA
Active
Other names
GRACEFUL RECOVERY
Organization subpart
No
Provider details
NPI number
Authorized official
MERIDETH C NORRIS DO (OWNER/PROVIDER)
(207) 604-5034
Entity
Organization
Contact information
Practice address
58 PORTLAND RD, SUITE 18, KENNEBUNK, ME 04043-6656
(207) 604-5034
Mailing address
58 PORTLAND RD, SUITE 18, KENNEBUNK, ME 04043-6656
(207) 604-5034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1813
ME
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME1813
ME
208VP0000X
Pain Medicine Physician
1813
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280670099
—
ME
01
—
E100136968
ETAN
ME
Enumeration date
11/22/2013
Last updated
03/16/2015
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