Individual
MATTHEW R SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2013 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-1865
Mailing address
PO BOX 601507, CHARLOTTE, NC 28260-1507
(540) 982-0237
(540) 982-1865
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101242462
VA
207RH0003X
Hematology & Oncology Physician
200500613
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2180204
UNITED HEALTHCARE
VA
01
—
350917
ANTHEM
VA
01
—
3977371
CIGNA
VA
01
—
7988607
AETNA
VA
05
—
OO6618026
—
VA
Enumeration date
06/07/2006
Last updated
02/05/2013
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