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NPI Code Detail

MEDICARE: VANDERBILT HEALTH AND WILLIAMSON MEDICAL CENTER CLINICS AND SERVICES,

MEDICARE: VANDERBILT HEALTH AND WILLIAMSON MEDICAL CENTER CLINICS AND SERVICES,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1225135551
Entity Type Code : Organization
Provider Name (Legal Business Name) : VANDERBILT HEALTH AND WILLIAMSON MEDICAL CENTER CLINICS AND SERVICES,
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 919 MURFREESBORO RD
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-3002
Country : US
Telephone Number : 615-591-9890
Fax Number : 615-591-5899
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : DENIS GALLAGHER
Credential :
Telephone Number : 615-875-7161
Provider Enumeration Date : 09/20/2006
Last Update Date : 03/31/2022

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