Individual
DR. CHRISTOPHER CLEVELAND SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-2003
(304) 768-8500
(304) 768-8530
Mailing address
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-2003
(304) 768-8500
(304) 768-8530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19877
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110193628
RAILROAD MEDICARE
WV
05
—
6000555000
—
WV
Enumeration date
02/15/2006
Last updated
07/21/2010
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