Provider First Line Business Practice Location Address:
VANDERBILT MEDICAL CENTER
Provider Second Line Business Practice Location Address:
MEDICAL CENTER EAST, SOUTH TOWER, SUITE 3200
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37232-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-322-7878
Provider Business Practice Location Address Fax Number:
615-343-9893
Provider Enumeration Date:
04/10/2006