Individual
TENNIE MARGARET SHARDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
37 GRAY BIRCH DR, AUGUSTA, ME 04330-6105
(207) 626-1000
Mailing address
183 GRAY RD, NORTH YARMOUTH, ME 04097-6009
(207) 441-6161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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