Male or Other

Mitchell S. Skinner PA-C

Physician Assistant in Fayetteville, NC(View on Map)

Full Name

Mitchell Shane Skinner PA-C

NPI Number

1457869240

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/16/2018

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

0010-07788

Contact
Information

Purpose

Mailing
Location

Address

3637 CAPE CENTER DR
3637 CAPE CENTER DR

City

Fayetteville
Fayetteville

State

NC
NC

Postal Code

28304-4457
28304-4457

Country

US
US

Telephone Number

(910) 491-1760
(910) 491-1760

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

Data last updated by provider on 01/16/2018

Provider Address

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