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Individual

GRANT D ORDIWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2201
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1159
TN
2085R0202X
Diagnostic Radiology Physician
DO0000001159
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3050160
TN
Enumeration date
09/21/2005
Last updated
06/21/2023
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