Individual
DR. JOSEPH A SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
2007-00909
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003000261S
HUMANA
—
01
—
147A8
BCBS
—
01
—
201075
MEDCOST
—
05
—
34183200
—
WI
05
—
3810009170
—
WV
05
—
5906821
—
NC
01
—
810626
PARTNERS
—
05
—
Q0090M
—
SC
Enumeration date
05/12/2006
Last updated
01/12/2012
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