Individual
JUDITH M SKONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
21802
SC
207Y00000X
Otolaryngology Physician
MD423272
PA
207YS0123X
Facial Plastic Surgery Physician
Primary
21802
SC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
21802
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008484860001
—
PA
05
—
218026
—
SC
Enumeration date
10/12/2005
Last updated
06/13/2016
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