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Contact Information

STEPHEN C SKIDMORE, DO
1514 VERNON RD
LAGRANGE, GA30240
 Phone: 706-882-1411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for STEPHEN C SKIDMORE · (Male)

NPI # 1275929663
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/13/2015
Last updated 07/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 80578
Hospital affiliation(s)
  • WEST GEORGIA MEDICAL CENTER - (Acute Care)
    1514 VERNON ROAD
    LAGRANGE, GA 30240
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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