Provider First Line Business Practice Location Address:
1161 21ST AVE S
Provider Second Line Business Practice Location Address:
CCC-1121 MED CTR N, DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37232-0011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-322-3780
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2007