Individual
MR. MAURICE SKILLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMS-PA
Contact information
Practice address
4131 KIRBY PKWY STE 1, MEMPHIS, TN 38115-6500
(706) 536-3272
(833) 903-2341
Mailing address
4131 KIRBY PKWY STE 1, KIRBY-RAINES MEDICAL CENTER, MEMPHIS, TN 38115
(901) 305-6766
(833) 903-2341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q038355
—
TN
Enumeration date
08/12/2006
Last updated
11/10/2021
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