Individual
STEVEN MARK SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 COUNTY ROAD 1466, CULLMAN, AL 35058-0795
(256) 739-9711
(256) 739-9737
Mailing address
1205 COUNTY ROAD 1466, CULLMAN, AL 35058-0795
(256) 739-9711
(256) 739-9737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18046
AL
207ND0101X
MOHS-Micrographic Surgery Physician
18046
AL
207ND0900X
Dermatopathology Physician
18046
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031800
—
AL
01
—
051031800
BLUE CROSS BLUE SHIELD
—
01
—
070009500
MEDICARE - RAILROAD
—
Enumeration date
08/18/2005
Last updated
05/13/2008
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