Individual
JON PAUL SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
6298 VETERANS PKWY, SUITE 5A, COLUMBUS, GA 31909-6258
(706) 320-0927
(706) 321-8167
Mailing address
6298 VETERANS PKWY, SUITE 5A, COLUMBUS, GA 31909-6258
(706) 320-0927
(706) 321-8167
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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