Provider First Line Business Practice Location Address:
VANDERBILT DEPARTMENT OF PEDIATRICS
Provider Second Line Business Practice Location Address:
2200 CHILDREN'S WAY, DOT#8153
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:
615-936-8349
Provider Business Practice Location Address Fax Number:
615-343-4655
Provider Enumeration Date:
05/12/2006