Provider Demographics
NPI:1518994607
Name:SKJEI, STEPHEN D (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:D
Last Name:SKJEI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6600 PEACHTREE DUNWOODY RD STE 325
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-6773
Mailing Address - Country:US
Mailing Address - Phone:048-922-1314
Mailing Address - Fax:404-215-9222
Practice Address - Street 1:684 SIXES RD STE 265
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30115-8720
Practice Address - Country:US
Practice Address - Phone:770-720-2221
Practice Address - Fax:770-720-2282
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2020-11-04
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Provider Licenses
StateLicense IDTaxonomies
GA85319207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH73040Medicare UPIN