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Organization

VANDERBILT ASTHMA SINUS AND ALLERGY PROGRAM, LLC

Active
Other names
Vanderbilt Asthma Sinus and Allergy Program, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA BARKSDALE (MANAGER PHYSICIAN BILLING SERVICES)
(615) 936-2727
Entity
Organization

Contact information

Practice address
2611 WEST END AVENUE, SUITE 210, NASHVILLE, TN 37203
(615) 936-2727
(615) 936-5862
Mailing address
P.O. BOX 262, MEMPHIS, TN 38101-0262
(615) 936-2727
(615) 936-5862

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
TN
Enumeration date
01/31/2008
Last updated
09/09/2009
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