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NPI Code Detail

MEDICARE: RITA C SKELTON NP

MEDICARE:   RITA C SKELTON  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerRN089885GA

General Provider Information

NPI Number : 1497720601
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA C SKELTON NP
Provider Business Mailing Address
First Line : PO BOX 897
Second Line : 324 WEST PIKE ST
City : LAWRENCEVILLE
State : GA
Zip : 30046-0897
Country : US
Telephone Number : 770-339-4260
Fax Number : 770-963-6322
Provider Business Practice Location Address
First Line : 15 S CLAYTON ST
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30045-5715
Country : US
Telephone Number : 770-339-4283
Fax Number : 770-339-2338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 07/08/2007

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