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Individual

BERNADETTE T SKRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1348 WALTON WAY STE 5700, AUGUSTA, GA 30901-5110
(706) 722-8242
(706) 722-8351
Mailing address
2405 PERSIMMON RD, AUGUSTA, GA 30904-3354
(312) 927-6634

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6394
GA

Other

Enumeration date
04/20/2010
Last updated
01/15/2025
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