Mitchell Lee Skidmore
Orthotic Fitter in Winston Salem, NC. Individual provider (NPI-1).
NPI number1851873764
StatusActive
Last updated in NPPESSep 6, 2018
Details
- NPI
- 1851873764
- Entity type
- Individual (NPI-1)
- Name
- Mitchell Lee Skidmore
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2018
- Last updated
- Sep 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225000000X | Orthotic Fitter | – | – | Yes |
Practice location
1399 Westgate Center DrWinston Salem, NC 27103-2934
Phone 336-768-1933 · Fax 336-768-4869
Mailing address
1399 Westgate Center DrWinston Salem, NC 27103-2934
Phone 336-768-1933 · Fax 336-768-4869
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