Individual
GARIG VANDERVELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1370
Mailing address
2020 21ST AVE S STE 201, NASHVILLE, TN 37212-4354
(615) 269-0652
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A100183
CA
207P00000X
Emergency Medicine Physician
Primary
MD433267
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1001830
—
CA
05
—
3001449
—
TN
Enumeration date
07/24/2007
Last updated
07/26/2011
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