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Individual

MEGAN SKIDMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(813) 957-1845
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
E2052056
GA
246RP1900X
Phlebotomy Technician

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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