Provider First Line Business Practice Location Address:
DEPT OF EMERGENCY MEDICINE VANDERBILT
Provider Second Line Business Practice Location Address:
MEDICAL CENTER 703 OXFORD HOUSE,1313 21ST AVE 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:
615-936-3898
Provider Business Practice Location Address Fax Number:
615-322-4374
Provider Enumeration Date:
03/14/2007