Individual
GEORGE C SKANDAMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 METRO PL N, SUITE 195, DUBLIN, OH 43017-5325
(614) 602-6455
(614) 259-9944
Mailing address
425 METRO PL N, SUITE 195, DUBLIN, OH 43017-5325
(614) 602-6455
(614) 259-9944
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
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