National Provider Identifier Database

SKYLINE MEDICAL GROUP LLC
Specialist

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.


Contact Information

SKYLINE MEDICAL GROUP LLC
3443 DICKERSON PIKE
SUITE G-30
NASHVILLE, TN37207-2519
Phone: 615-234-6390
Fax: 615-234-6393
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Family 363LF0000X
Internal Medicine 207R00000X
Oral & Maxillofacial Surgery 204E00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for SKYLINE MEDICAL GROUP LLC

NPI Number 1336154202
Legal business name
LBN
SKYLINE MEDICAL GROUP LLC
Authorized official JEFF RYDBURG - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/29/2006
Last updated 10/31/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 3735178

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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