Provider Demographics
NPI:1497647705
Name:SKALKO, AIDAN J (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:AIDAN
Middle Name:J
Last Name:SKALKO
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 DOGWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-3404
Mailing Address - Country:US
Mailing Address - Phone:478-718-8056
Mailing Address - Fax:
Practice Address - Street 1:805 DOGWOOD CIR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-3404
Practice Address - Country:US
Practice Address - Phone:478-718-8056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAA0033277146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic