| Doctor Name: | CARLEY E MEJIA |
| NPI Number: | 1275724114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | PA001103 |
| Business Practice Address: | 4 Shape Dr Kennebunk, ME - 040436601 |
| Business Phone Number: | 2074678930 |
| Business Fax Number: | 2074678969 |
| Mailing Address: | 9 Healthcare Dr, Suite 201 BIDDEFORD |
| State: | ME |
| Postal Code: | 040059449 |
| Phone Number: | 2072829080 |
| Fax Number: | 2072829180 |
| NPI Enumeration Date: | 08/06/2007 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA001103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |