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Bethany E Skaggs, PA-C
Medical Physician Assistant in Statesville, North Carolina
NPI 1033281316

Bethany E Skaggs is a Medical Physician Assistant based in Statesville, NC and is specialized in Medical. Bethany E Skaggs practices in Statesville, NC and has the professional credentials of PA-C. The NPI Number for Bethany E Skaggs is 1033281316 and holds a License No. 0010-00646 (North Carolina).

The current practice location address for Bethany E Skaggs is 619 Sullivan Rd, Statesville, NC and can be reached out via phone at 704-924-9111.

Location: 619 Sullivan Rd, Statesville, NC, 28687-1845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033281316
Provider Name
Bethany E Skaggs
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
619 Sullivan Rd, Statesville, NC, 28687-1845
Phone Number
704-924-9111
Fax Number
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8101155 05 NC
institution
Provider Business Practice Location Address Details
Address
619 Sullivan Rd
City
Statesville
State
North Carolina
Zip
28677-3437
Phone Number
704-924-9111
Fax Number
person
Provider Business Mailing Address Details
Address
619 Sullivan Rd
City
Statesville
State
North Carolina
Zip
28677-3437
Phone Number
704-924-9111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0010-00646 (North Carolina)
Definition
Definition to come...
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