Skyridge Clinical Associates LLC

NPI #1598933269 in Cleveland, Tennessee

Provider Information

NPI Number: 1598933269
Entity Type: Organization
Organization Name: Skyridge Clinical Associates LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 15, 2008
Last Updated: Feb 24, 2010

Practice Location

Address: 1060 PEERLESS CROSSING DR
Address 2: SUITE 200
City: Cleveland
State: Tennessee
ZIP Code: 37312-3785
Phone: (423) 479-4165

Authorized Official

Name: DEBBIE BREWER
Title: DIRECTOR
Phone: (877) 892-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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