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Organization
VANDERBILT UNIVERSITY
Active
Organization
VANDERBILT UNIVERSITY
Active
Other names
Vanderbilt Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KAE EDINGTON (DIRECTOR, PROVIDER SUPPORT SERVICES)
(615) 936-0471
Entity
Organization
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 322-3000
Mailing address
4163 VILLAGE AT VANDERBILT, NASHVILLE, TN 37232-8678
(615) 322-3573
(615) 936-6095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
NULL
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
10/25/2006
Last updated
09/11/2025
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