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Individual

MICHAEL S SKAGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
600 CHURCH ST S STE 3, RIPLEY, WV 25271-1666
(304) 786-1222
(304) 786-1236
Mailing address
600 CHURCH ST S STE 3, RIPLEY, WV 25271-1666
(304) 784-1962

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022151791
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004369176
BCBS
05
1861024507
WV
Enumeration date
02/11/2020
Last updated
12/23/2024
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