Healthcare Provider Details

I. General information

NPI: 1871976308
Provider Name (Legal Business Name): ABIGAIL REYNOLDS SKOV DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5671 PEACHTREE DUNWOODY RD STE 660
ATLANTA GA
30342-5006
US

IV. Provider business mailing address

5671 PEACHTREE DUNWOODY RD STE 660
ATLANTA GA
30342-5006
US

V. Phone/Fax

Practice location:
  • Phone: 404-843-0090
  • Fax: 404-843-1008
Mailing address:
  • Phone: 404-843-0090
  • Fax: 404-843-1008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD001354
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: