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General NPI Number Information
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NPI Number | 1720393853
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Entity Type | Organization
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Legal Business Name | P.MICHAEL SKALIY, MD, PC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 12425 MORRIS RD
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City | ALPHARETTA
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State | GA
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Zip | 30005-4137
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Country | US
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Telephone | 770-236-8884
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Fax | 678-325-2919
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Provider Business Mailing Address
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Address Line | PO BOX 420709
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City | ATLANTA
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State | GA
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Zip | 30342-0709
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Country | US
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Telephone | 770-236-8884
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Fax | 678-325-2919
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ANA PULIDO
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Credential |
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Telephone | 770-236-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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