Individual
SAMUEL SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-5153
Mailing address
105 CONWAY DR W, MOBILE, AL 36608-1740
(251) 753-6369
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-137468
AL
Other
Enumeration date
09/29/2016
Last updated
08/19/2019
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