Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FLOYD (DEPARTMENT MANAGER)
(615) 343-7491
Entity
Organization
Contact information
Practice address
1215 21ST AVE S STE 3312, 3200 MEDICAL CENTER EAST - SOUTH TOWER, NASHVILLE, TN 37232-0014
(615) 833-6458
Mailing address
1215 21ST AVE S STE 3312, 3200 MEDICAL CENTER EAST-SOUTH TOWER, NASHVILLE, TN 37232-0014
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11084
TN PHYSICAL THERAPIST LICENSE
TN
Enumeration date
01/09/2017
Last updated
01/09/2017
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