Provider First Line Business Practice Location Address:
2200 CHILDREN'S WAY 5230 DOCTOR'S OFFICE TOWER
Provider Second Line Business Practice Location Address:
MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT DEP
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37232-9119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-322-7447
Provider Business Practice Location Address Fax Number:
615-322-2210
Provider Enumeration Date:
10/04/2005