Individual
ANN MARIE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 452-8110
Mailing address
262 LEROY GEORGE DRIVE, CLYDE, NC 28716
(828) 452-8110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02005
NC
363A00000X
Physician Assistant
1483
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32175329
—
NM
05
—
70373531
—
CO
Enumeration date
07/10/2006
Last updated
04/22/2011
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