Individual
JUDY PAMELA SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 WILLOW BEND DR, HATTIESBURG, MS 39402-8552
(601) 296-2552
(601) 296-2554
Mailing address
PO BOX 17708, HATTIESBURG, MS 39404-7708
(601) 296-2552
(601) 296-2554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R685399
MS
Other
Enumeration date
06/10/2009
Last updated
07/07/2010
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