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Individual

CASEY BURNER SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2750 LAUREL ST STE 303, COLUMBIA, SC 29204-2025
(803) 252-1953
(803) 217-6750
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3249
SC
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4408PA
SC
Enumeration date
05/08/2019
Last updated
08/25/2021
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