Individual
DR. CRISTIAN BLAKE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, PHD, ABPN
Contact information
Practice address
7200 CREEDMOOR RD STE 200, RALEIGH, NC 27613-1711
(919) 912-5600
(800) 887-8477
Mailing address
7200 CREEDMOOR RD STE 200, RALEIGH, NC 27613-1711
(919) 912-5600
(800) 887-8477
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2024-00137
NC
2084P0800X
Psychiatry Physician
4086
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
07/22/2024
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