Healthcare Provider Details

I. General information

NPI: 1225135551
Provider Name (Legal Business Name): VANDERBILT HEALTH AND WILLIAMSON MEDICAL CENTER CLINICS AND SERVICES,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 MURFREESBORO RD
FRANKLIN TN
37064-3002
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-591-9890
  • Fax: 615-591-5899
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DENIS GALLAGHER
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 615-875-7161