Provider First Line Business Practice Location Address:
NEPHROLOGY DIVISION S3223 MEDICAL CTR N
Provider Second Line Business Practice Location Address:
1161 21ST STREET SOUTH
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:
615-343-2844
Provider Business Practice Location Address Fax Number:
615-343-2675
Provider Enumeration Date:
11/01/2006