Organization
VANDERBILT UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ELIZABETH DORRIS (NURSE PRACTITIONER)
(931) 703-7872
Entity
Organization
Contact information
Practice address
62 PARKS LN, FAYETTEVILLE, TN 37334-6642
(931) 703-7872
Mailing address
62 PARKS LN, FAYETTEVILLE, TN 37334-6642
(931) 703-7872
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
19947
TN
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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