Individual
MARK SKAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1126 N CHURCH ST STE 300, GREENSBORO, NC 27401-1037
(336) 938-0800
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 274-6515
(336) 275-0812
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200500535
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910526
—
NC
01
—
P00639471
RR MEDICARE
—
Enumeration date
05/01/2007
Last updated
08/25/2021
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