Organization
CENTRAL MAINE EYE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KELLY (DIRECTOR)
(615) 345-6900
Entity
Organization
Contact information
Practice address
249 MAIN ST, LEWISTON, ME 04240-7053
(207) 783-9653
Mailing address
401 COMMERCE ST STE 600, NASHVILLE, TN 37219-2518
(615) 345-6900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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