Organization
TRISEASONS HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CLAYSTON SKARDA M.D. (OWNER)
(828) 528-1228
Entity
Organization
Contact information
Practice address
101 ALISON LN, ARCHDALE, NC 27263-3457
(336) 883-8633
(202) 379-1739
Mailing address
101 ALISON LN, ARCHDALE, NC 27263-3457
(336) 883-8633
(202) 379-1739
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
188728
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659314748
INDIVIDUAL NPI
—
05
—
8976744
—
NC
Enumeration date
03/27/2013
Last updated
03/27/2013
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