Organization
VANDERBILT INTEGRATED PROVIDERS, LLC
Active
Other names
Vanderbilt Integrated Internal Medicine Cedar Lane
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MONACI (VICE PRESIDENT)
(615) 936-3944
Entity
Organization
Contact information
Practice address
1330 CEDAR LN STE 100, TULLAHOMA, TN 37388-2284
(931) 393-3366
(931) 393-1065
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q92330
—
TN
Enumeration date
09/15/2023
Last updated
06/12/2024
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