Individual
RICHARD THOMAS SKILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
118 JULEE EMILYN DR, BONAIRE, GA 31005-4343
(478) 955-4695
Mailing address
118 JULEE EMILYN DR, BONAIRE, GA 31005-4343
(478) 955-4695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116447
FL
Other
Enumeration date
01/03/2023
Last updated
03/29/2023
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