Provider Demographics
NPI:1851741482
Name:SKILLINGS, BREDE (MD)
Entity type:Individual
Prefix:
First Name:BREDE
Middle Name:
Last Name:SKILLINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1919
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-1919
Mailing Address - Country:US
Mailing Address - Phone:843-652-3937
Mailing Address - Fax:843-652-3939
Practice Address - Street 1:4055 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5032
Practice Address - Country:US
Practice Address - Phone:843-652-3937
Practice Address - Fax:843-652-3939
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC84524207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology