Individual
GREGORY GORDON SKAGGS
Active
Individual
GREGORY GORDON SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24093
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203767609
PHCS
KY
01
—
207677609
CIGNA
KY
01
—
2434505000
PASSPORT ADVANTAGE
KY
01
—
4349009
ATENA
KY
05
—
64240930
—
KY
Enumeration date
05/15/2006
Last updated
02/01/2012
Update your record
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