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Individual

SHEILA M CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4067
(207) 563-4250
(207) 563-4246
Mailing address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4067
(207) 563-4250
(207) 563-4246

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015932
ME
2080P0206X
Pediatric Gastroenterology Physician
015932
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740212661
ME
05
30205563
NH
Enumeration date
07/07/2006
Last updated
12/20/2019
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