Healthcare Provider Details

I. General information

NPI: 1427443290
Provider Name (Legal Business Name): MICHAEL M SKARET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 SILVER STREAM LN
WILMINGTON NC
28401-7684
US

IV. Provider business mailing address

2421 SILVER STREAM LN
WILMINGTON NC
28401-7684
US

V. Phone/Fax

Practice location:
  • Phone: 910-341-3432
  • Fax: 910-341-3320
Mailing address:
  • Phone: 910-341-3432
  • Fax: 910-341-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2023-00606
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: