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Individual

ADAM SOUCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
21 ENTERPRISE DR, AUGUSTA, ME 04330-7894
(207) 621-7550
Mailing address
21 ENTERPRISE DR, AUGUSTA, ME 04330-7894
(207) 621-7550

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1954
ME

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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