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Organization

VANDERBILT UNIVERSITY

Active
Other names
Vanderbilt Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
KAE EDINGTON (DIRECTOR, PROVIDER SUPPORT SERVICES)
(615) 936-0471
Entity
Organization

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 322-3000
Mailing address
4163 VILLAGE AT VANDERBILT, NASHVILLE, TN 37232-8678
(615) 322-3573
(615) 936-6095

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
133VN1005X
Renal Nutrition Registered Dietitian
Primary
133VN1006X
Metabolic Nutrition Registered Dietitian

Other

Enumeration date
10/25/2006
Last updated
09/11/2025
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