Organization
SKYRIDGE CLINICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
1060 PEERLESS CROSSING DR, SUITE 200, CLEVELAND, TN 37312-3785
(423) 479-4165
(423) 478-1884
Mailing address
1060 PEERLESS CROSSING DR, SUITE 200, CLEVELAND, TN 37312-3785
(423) 479-4165
(423) 478-1884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/15/2008
Last updated
02/24/2010
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