Provider Demographics
NPI:1750684825
Name:SOUTHERN MAINE TMS LLC
Entity type:Organization
Organization Name:SOUTHERN MAINE TMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-985-8998
Mailing Address - Street 1:9 OLD SAWMILL LN
Mailing Address - Street 2:
Mailing Address - City:ARUNDEL
Mailing Address - State:ME
Mailing Address - Zip Code:04046-8164
Mailing Address - Country:US
Mailing Address - Phone:207-985-8998
Mailing Address - Fax:207-985-1281
Practice Address - Street 1:9 OLD SAWMILL LN
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-8164
Practice Address - Country:US
Practice Address - Phone:207-985-8998
Practice Address - Fax:207-985-1281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty