Individual
SKYLER LAMBERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
613 WOODLAND DR, PERRY, GA 31069-3554
(478) 954-9557
Mailing address
613 WOODLAND DR, PERRY, GA 31069-3554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162386
NCCPA
GA
Enumeration date
05/22/2019
Last updated
05/29/2019
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