# GREGORY G. SKAGGS MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487757134
- **Authorized official:** MS. TAMI L HART (MT)
- **Authorized official phone:** (270) 230-0251

## Contact information

- **Practice address:** 912 WALLACE AVE, SUITE 105, LEITCHFIELD, KY 42754-2404
- **Practice address phone:** (270) 230-0251
- **Practice address fax:** (270) 230-0712
- **Mailing address:** 912 WALLACE AVE, SUITE 105, LEITCHFIELD, KY 42754-2404
- **Mailing address phone:** (270) 230-0251
- **Mailing address fax:** (270) 230-0712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 24093 | KY | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 10/02/2007