DR. MARY ANGELA SKELTON M.D. NPI 1740323393

NPI Information

NPI: 1740323393
Provider Name: DR. MARY ANGELA SKELTON, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
1034 W MAIN ST
WAVERLY, TN
ZIP 37185
Phone: (931) 296-7000
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DR. Mary Angela Skelton, M.D. is an adolescent medicine pediatrics in Waverly, TN. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Mary Angela Skelton, M.D. NPI is 1740323393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1034 W MAIN ST
WAVERLY, TN
ZIP 37185-447
Phone: (931) 296-7000
Fax: (931) 296-7231

The enumeration date for this NPI number is 2/14/2007 and was last updated on 1/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD8719	TENNESSEE	No
2	208D00000X	General Practice		MD8719	TENNESSEE	No
3	2080A0000X	Pediatrics	Adolescent Medicine	MD8719	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C47002	MEDICARE UPIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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