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Organization

JONATHAN L SKINNER LLC

Active
Other names
Southern Surgical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN L SKINNER MD (SURGEON - OWNER)
(334) 699-0060
Entity
Organization

Contact information

Practice address
1118 ROSS CLARK CIR, STE 302, DOTHAN, AL 36301-3001
(334) 699-0060
(334) 699-0061
Mailing address
105 PROFESSIONAL LN, DOTHAN, AL 36303-3875
(334) 699-0060
(334) 699-0061

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18574
AL

Other

Enumeration date
09/15/2011
Last updated
05/24/2022
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