Provider Demographics
NPI:1891245163
Name:SKELTON, ANNMARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:SKELTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:ZUARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:141 LACY ST NW STE 200
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1118
Mailing Address - Country:US
Mailing Address - Phone:770-426-7177
Mailing Address - Fax:770-426-7745
Practice Address - Street 1:141 LACY ST NW STE 200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1118
Practice Address - Country:US
Practice Address - Phone:770-426-7177
Practice Address - Fax:770-426-7745
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant