Individual
DR. MARYANN JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
68 CHAPMAN ST, DAMARISCOTTA, ME 04543-4614
(207) 563-6623
Mailing address
68 CHAPMAN ST, DAMARISCOTTA, ME 04543-4614
(207) 563-6623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20547
ME
Other
Enumeration date
12/14/2006
Last updated
01/22/2016
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