Individual
GEORGE C SKANDAMIS
Active
Individual
GEORGE C SKANDAMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
35.091957
OH
390200000X
Student in an Organized Health Care Education/Training Program
430184294
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2849725
—
OH
01
—
5315018697
CONTROLLED SUBSTANCE LICE
MI
Enumeration date
03/29/2007
Last updated
09/20/2013
Update your record
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