Individual
JERRY SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFTS
Contact information
Practice address
312 ACADEMY ST S, AHOSKIE, NC 27910-3200
(252) 332-4101
(252) 332-6612
Mailing address
312 ACADEMY ST S, AHOSKIE, NC 27910-3200
(252) 332-4101
(252) 332-6612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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