Provider First Line Business Practice Location Address:
VANDERBILT UNIVERSITY DEPT
Provider Second Line Business Practice Location Address:
A-0118 MEDICAL CENTER NORTH
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:
615-936-0060
Provider Business Practice Location Address Fax Number:
615-936-1286
Provider Enumeration Date:
10/09/2006