Organization
SKYLINE ENDOSCOPY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S. HERTZ JR. M.D. (DIRECTOR)
(731) 426-0310
Entity
Organization
Contact information
Practice address
27 MEDICAL CENTER DR, SUITE 2, JACKSON, TN 38301-3949
(731) 426-0310
Mailing address
27 MEDICAL CENTER DR, SUITE 2, JACKSON, TN 38301-3949
(731) 426-0310
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000194
TN
Other
Enumeration date
04/12/2007
Last updated
07/18/2008
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