Provider Demographics
NPI:1346769825
Name:DR. SKEETE & ASSOCIATES OF NORTH GEORGIA, P.C.
Entity Type:Organization
Organization Name:DR. SKEETE & ASSOCIATES OF NORTH GEORGIA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:SKEETE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-287-1623
Mailing Address - Street 1:150 PEARL NIX PARKWAY
Mailing Address - Street 2:SUITE D3A
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501
Mailing Address - Country:US
Mailing Address - Phone:770-287-1623
Mailing Address - Fax:770-297-0861
Practice Address - Street 1:150 PEARL NIX PARKWAY
Practice Address - Street 2:SUITE D3A
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501
Practice Address - Country:US
Practice Address - Phone:770-287-1623
Practice Address - Fax:770-297-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-15
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001589152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty