Organization
VANDERBILT UNIVERSITY
Active
Other names
Vanderbilt Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE MIDGETT (DIRECTOR)
(615) 936-0471
Entity
Organization
Contact information
Practice address
1670 W MAIN ST, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915
Mailing address
4163 VILLAGE AT VANDERBILT, NASHVILLE, TN 37232-0001
(615) 322-3573
(615) 936-6095
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
TN
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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