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Individual

DR. SHAWN W SKINNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5075 MORGANTON RD STE 9B, FAYETTEVILLE, NC 28314-1589
(910) 867-2325
(910) 867-2730
Mailing address
5075 MORGANTON RD STE 9B, FAYETTEVILLE, NC 28314-1589
(910) 867-2325
(910) 867-2730

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2399
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0708818
PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY
OR
Enumeration date
11/17/2009
Last updated
12/12/2019
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