Individual
SANDRA LANE SKIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
10239 CLEMSON BLVD, SUITE 170, SENECA, SC 29678-0861
(864) 888-8865
(864) 888-3838
Mailing address
10239 CLEMSON BLVD, SUITE 170, SENECA, SC 29678-0861
(864) 888-8865
(864) 888-3838
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
465
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4340
—
SC
Enumeration date
11/07/2006
Last updated
07/09/2007
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