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Organization

GREGORY G. SKAGGS MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMI L HART (MT)
(270) 230-0251
Entity
Organization

Contact information

Practice address
912 WALLACE AVE, SUITE 105, LEITCHFIELD, KY 42754-2404
(270) 230-0251
(270) 230-0712
Mailing address
912 WALLACE AVE, SUITE 105, LEITCHFIELD, KY 42754-2404
(270) 230-0251
(270) 230-0712

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24093
KY

Other

Enumeration date
09/07/2006
Last updated
10/02/2007
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