Individual
DR. SCOTT D SKIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 PAGE RD, PINEHURST, NC 28374-8798
(102) 955-5119
(910) 235-3421
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2013-01304
NC
207RP1001X
Pulmonary Disease Physician
49312
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063431849
—
NC
01
—
1168233
GATEWAY HEALTH
FL
01
—
1805665
CIGNA
NC
01
—
P01292147
RAILROAD MCR
NC
Enumeration date
07/19/2006
Last updated
02/16/2021
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