Female

Dr. Deborah S. Skelton MD

Gastroenterology Physician in Jackson, MS(View on Map)

Full Name

Dr. Deborah S. Skelton MD

NPI Number

1740353515

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/17/2006

Specialties

(Taxonomies)

Code

207RG0100X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

09701

Contact
Information

Purpose

Mailing
Location

Address

500 LONG LEAF PL
971 LAKELAND DR STE 1160

City

Madison
Jackson

State

MS
MS

Postal Code

39110-5535
39216-4609

Country

US
US

Telephone Number

(601) 362-7252
(601) 981-2404

Identifiers

Identifier

100006764
100000057
09701
03576701

Identifier State

Unknown
MS
MS
MS

Identifier Issuer

RAILROAD MEDICARE PROVIDR
MEDICARE PTAN
MS MEDICAL LICENSE NUMBER
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/07/2023

Provider Address

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