SAMUEL SKIDMORE

MOBILE, AL
NPI1710436811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL  1-137468)
Enumeration Date2016-09-29
Last Update Date2019-08-19
Business Address
SAMUEL SKIDMORE CRNP
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607-3513
Phone number: 251-435-5153
Mailing Address
SAMUEL SKIDMORE CRNP
105 CONWAY DR W
MOBILE, AL 36608-1740
Phone number: 251-753-6369
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