Individual
MR. PHILLIP MARK SKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2761 AGNES LN, MYRTLE BEACH, SC 29577-2029
(843) 492-2710
(843) 492-2708
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(843) 492-2710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4667
SC
363AM0700X
Medical Physician Assistant
Primary
4667
SC
Other
Enumeration date
11/23/2005
Last updated
11/03/2024
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