Organization
SKYLINE PRIMARY CARE LLC
Active
Parent organization
HTI HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HTI HOLDINGS, INC.
Authorized official
MR. CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
510 HOSPITAL DR, SUITE 150, MADISON, TN 37115-5033
(615) 865-9232
(615) 865-4159
Mailing address
510 HOSPITAL DR, SUITE 150, MADISON, TN 37115-5033
(615) 865-9232
(615) 865-4159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734032
—
TN
Enumeration date
05/19/2006
Last updated
01/05/2008
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