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Organization
SKYLINE MEDICAL PRACTICE LLC
Active
Organization
SKYLINE MEDICAL PRACTICE LLC
Active
Other names
Skyline Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEY DEVER (CREDENTIALING COORDINATOR)
(843) 697-5168
Entity
Organization
Contact information
Practice address
841 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3501
(540) 636-7000
(540) 636-7029
Mailing address
841 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3501
(540) 636-7000
(540) 363-7029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
07/18/2024
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