Individual
DR. MICHAEL SKOLOCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 MALCOLM BLVD, RUTHERFORD COLLEGE, NC 28671
(828) 874-3330
(828) 874-3448
Mailing address
PO BOX 450, RUTHERFORD COLLEGE, NC 28671
(828) 874-3330
(828) 874-3448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8976760
—
NC
Enumeration date
09/25/2006
Last updated
07/08/2007
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