Individual
DR. TIMOTHY BENJAMIN SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 REYNOIR ST STE 205, BILOXI, MS 39530-4109
(228) 702-3020
(228) 702-3025
Mailing address
PO BOX 550, OCEAN SPRINGS, MS 39566-0550
(228) 702-3020
(228) 702-3025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20528
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20528
MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE
MS
Enumeration date
09/02/2006
Last updated
06/28/2011
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