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Individual
MR. JEFFREY SKILLMAN
Active
Individual
MR. JEFFREY SKILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPEECH THERAPIST SPE
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005265
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10052533
AMERIGROUP
—
01
—
339889
WELLCARE
—
01
—
4093393
BCBS
TN
05
—
50367080A
—
GA
01
—
52153690001
BCBS
GA
Enumeration date
12/14/2006
Last updated
07/08/2007
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