Provider First Line Business Practice Location Address:
1161 21ST AVENUE SOUTH VANDERBILT UNIVERSITY MEDICAL CE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-875-6256
Provider Business Practice Location Address Fax Number:
615-322-3764
Provider Enumeration Date:
05/28/2021