Individual
JAY MCBAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8880
(207) 621-9511
Mailing address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8880
(207) 621-9511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1621
ME
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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