Individual provider · Type 1 NPI

Tyler Jeffrey Francis Skidmore, MD

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1689202962 Active

Practice location

Medical Center Blvd 9th Floor
Winston Salem, NC 27157-0001

Mailing address

327 Woodbridge Rd
Oak Hill, WV 25901-3333

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689202962

Tyler Jeffrey Francis Skidmore, MD's National Provider Identifier is 1689202962, issued on Mar 31, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 31, 2020.