SKYLINE MEDICAL GROUP LLC NPI 1336154202

NPI Information

SKYLINE MEDICAL GROUP LLC is a specialist in Nashville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SKYLINE MEDICAL GROUP LLC NPI is 1336154202. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3443 DICKERSON PIKE
SUITE G-30
NASHVILLE, TN
ZIP 37207-519
Phone: (615) 234-6390
Fax: (615) 234-6393

The provider's authorized official is Jeff Rydburg .
The authorized official title is Vice President and has the following contact phone number (615) 373-7415.

The CLIA number assigned to this NPI record is 44D0978085 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 2/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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