Individual
KEELY SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CLYBURN PL, AIKEN, SC 29801-4193
(803) 380-7000
Mailing address
205 MONTGLEN CT, GREENVILLE, SC 29607-6083
(864) 884-8875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11169
SC
Other
Enumeration date
05/10/2023
Last updated
04/14/2026
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