Organization
SKYLINE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RYDBURG (VICE PRESIDENT)
(615) 373-7415
Entity
Organization
Contact information
Practice address
3443 DICKERSON PIKE, SUITE G-30, NASHVILLE, TN 37207-2519
(615) 234-6390
(615) 234-6393
Mailing address
3443 DICKERSON PIKE, SUITE G-30, NASHVILLE, TN 37207-2519
(615) 234-6390
(615) 234-6393
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735178
—
TN
Enumeration date
07/29/2006
Last updated
10/31/2025
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