Provider First Line Business Practice Location Address:
4650H THE VANDERBILT CLINIC
Provider Second Line Business Practice Location Address:
1301 MEDICAL CENTER DRIVE
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:
615-936-8958
Provider Business Practice Location Address Fax Number:
615-343-8420
Provider Enumeration Date:
11/20/2009