Organization
DOUGLAS L. VANDERBILT, M.D. ,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS L VANDERBILT M.D. (OWNER)
(423) 892-9200
Entity
Organization
Contact information
Practice address
721 GLENWOOD DR, MEMORIAL MEDICAL BLDG., WEST SUITE 470, CHATTANOOGA, TN 37404-1106
(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
—
3384417
—
TN
Enumeration date
08/05/2007
Last updated
02/19/2009
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