Individual
WRIGHT S SKINNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 NELSON BLVD STE 400, KINGSTREE, SC 29556-4058
(843) 355-5363
(843) 355-5365
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
103934
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200042355
RAILROAD PROVIDER NUMBER
SC
01
—
DM0379
MEDICAID DMERC
SC
05
—
GP0007
—
SC
Enumeration date
12/19/2005
Last updated
03/16/2023
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