Provider First Line Business Practice Location Address:
VANDERBILT UNIVERSITY MEDICAL CTR
Provider Second Line Business Practice Location Address:
1211 MEDICAL CENTER DRIVE, VUH 4202
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37232-7580
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-322-8476
Provider Business Practice Location Address Fax Number:
615-936-6493
Provider Enumeration Date:
06/14/2005