Provider First Line Business Practice Location Address:
DIV OF RHEUMATOLOGY VANDERBILT MEDICAL CTR
Provider Second Line Business Practice Location Address:
T-3217 MEDICAL CENTER NORTH, 1161 21ST AVE S
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:
615-343-1699
Provider Business Practice Location Address Fax Number:
615-343-7392
Provider Enumeration Date:
06/16/2010