Provider First Line Business Practice Location Address:
MEDICAL CENTER EAST SOUTH TOWER 1215 21ST AVE S
Provider Second Line Business Practice Location Address:
STE. 9302
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:
615-343-7084
Provider Business Practice Location Address Fax Number:
615-322-5833
Provider Enumeration Date:
08/19/2008