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
—
—
Other
Enumeration date
08/03/2020
Last updated
07/18/2024
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