Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 65617 | GA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 065617 | GA |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME107545 | FL |
NPI | 1114147931 |
---|---|
Provider Name | Piotr Pawel Skowronski |
First Address | Augusta, GA 30914-3726 |
Second Address | Augusta, GA 30909-1868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 24/03/2021 |