Individual
DR. DEBORAH S. SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
971 LAKELAND DR STE 1160, JACKSON, MS 39216-4609
(601) 981-2404
Mailing address
500 LONG LEAF PL, MADISON, MS 39110-5535
(601) 362-7252
(888) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
09701
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03576701
—
MS
01
—
09701
MS MEDICAL LICENSE NUMBER
MS
01
—
100000057
MEDICARE PTAN
MS
01
—
100006764
RAILROAD MEDICARE PROVIDR
—
Enumeration date
11/17/2006
Last updated
03/07/2023
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