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Individual

DR. CRAIG KEVIN SKALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4100
(912) 691-4289
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 303-3552
(912) 303-3506

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
694
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000591093B
GA
Enumeration date
02/01/2007
Last updated
01/24/2013
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