Individual provider · Type 1 NPI

Bernadette T. Skruck, PA

Surgical Physician Assistant · Augusta, GA

NPI number 1063738722 Active

Practice location

1348 Walton Way Ste 5700
Augusta, GA 30901-5110

Fax (706) 722-8351

Mailing address

2405 Persimmon Rd
Augusta, GA 30904-3354

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X6394 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1063738722

Bernadette T. Skruck, PA's National Provider Identifier is 1063738722, issued on Apr 20, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Jan 15, 2025.