Skyridge Clinical Associates, LLC

NPI #1184728347 in Cleveland, Tennessee

Provider Information

NPI Number: 1184728347
Entity Type: Organization
Organization Name: Skyridge Clinical Associates, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 11, 2006
Last Updated: Aug 19, 2009

Practice Location

Address: 1060 PEERLESS CROSSING
Address 2: STE 200
City: Cleveland
State: Tennessee
ZIP Code: 37312-3861
Phone: (423) 479-4165

Authorized Official

Name: GARVIN KENT CHASTAIN, M.D.
Title: PRESIDENT
Phone: (423) 479-4165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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