Organization
VANDERBILT HEALTH CLINICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECELIA B. MOORE (TREASURER/CFO)
(615) 322-0084
Entity
Organization
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/18/2024
Last updated
10/23/2024
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