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Individual

MS. SHERYL AVON SKIPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
118 S MADISON ST STE 1, THOMASVILLE, GA 31792-5400
(229) 226-8619
(229) 226-8619
Mailing address
118 S MADISON ST STE 1, THOMASVILLE, GA 31792-5400
(229) 226-8619
(229) 226-8619

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00528294A
GA
Enumeration date
11/27/2006
Last updated
12/11/2007
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