Organization
SKINNER AND ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER WINSTON SKINNER EDD GA LICENSE 1295 (PSYCHOLOGIST)
(770) 253-3512
Entity
Organization
Contact information
Practice address
66 FARMER ST, NEWNAN, GA 30263-1437
(770) 253-3512
Mailing address
66 FARMER ST, NEWNAN, GA 30263-1437
(770) 253-3512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1295
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IPO 40380
BCBS
GA
01
—
R-12544
UPIN
GA
Enumeration date
10/18/2007
Last updated
10/18/2007
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