Individual
JEFFREY A SKILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1880 AMHERST STREET, SUITE 100, WINCHESTER, VA 22601-2872
(540) 662-0306
(855) 264-2066
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101053673
VA
207RC0000X
Cardiovascular Disease Physician
20239
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005847338
—
VA
01
—
145310
ANTHEM BCBS
VA
05
—
1805364000
—
WV
05
—
791200500
—
MD
01
—
9318661
MEDICARE GROUP
WV
01
—
C00075
MEDICARE GROUP
VA
Enumeration date
01/13/2006
Last updated
02/03/2023
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