Individual
MITCHELL LEE SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1399 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(336) 768-1933
(336) 768-4869
Mailing address
1399 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(336) 768-1933
(336) 768-4869
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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