Organization
VANDERBILT UNIVERSITY
Active
Other names
Vanderbilt Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE G. MIDGETT (DIRECTOR, PROVIDER SUPPORT SERVICES)
(615) 936-0471
Entity
Organization
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
2146 BELCOURT AVENUE, NASHVILLE, TN 37232-8792
(615) 936-6046
(615) 936-6095
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
TN
Other
Enumeration date
11/06/2006
Last updated
06/21/2018
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