Provider First Line Business Practice Location Address:
2000 CHURCH STREET
Provider Second Line Business Practice Location Address:
STE 326 BAPTIST HOSPITAL
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-284-5174
Provider Business Practice Location Address Fax Number:
615-284-3349
Provider Enumeration Date:
09/26/2006