Individual
DR. DOUGLAS L VANDERBILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 GLENWOOD DRIVE, MEMORIAL BLDG., WEST SUITE 470, CHATTANOOGA, TN 37404-1126
(423) 892-9208
(423) 892-9212
Mailing address
PO BOX 23371, CHATTANOOGA, TN 37422-3371
(423) 892-9208
(423) 892-9212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7995
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3184016
—
TN
Enumeration date
11/08/2006
Last updated
02/04/2009
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