Individual
SHANNON LEE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WELLNESS WAY, TOPSHAM, ME 04086-1768
(207) 406-7600
(207) 618-5683
Mailing address
1 WELLNESS WAY, TOPSHAM, ME 04086-1768
(207) 406-7600
(207) 618-5683
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2083
ME
Other
Enumeration date
08/26/2020
Last updated
03/21/2025
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