Provider First Line Business Practice Location Address:
VANDERBILT UNIVERSITY MEDICAL CENTER 1161 21ST AVENUE S
Provider Second Line Business Practice Location Address:
CCC-4322 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:
37232-2730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-343-6642
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2020