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Individual

JAD GEORGES SKAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
2596 EDMONTON RD, FAYETTEVILLE, NC 28304-3704
(215) 609-9676

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015-01848
NC
207RC0000X
Cardiovascular Disease Physician
37368
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
201501848
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
37368
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373688
SC
01
7153
MEDICARE GROUP
SC
Enumeration date
01/13/2010
Last updated
08/10/2023
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