Provider First Line Business Practice Location Address:
1310 24TH AVE S
Provider Second Line Business Practice Location Address:
TRANSPLANT CENTER 11T
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37212-2637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-321-6373
Provider Business Practice Location Address Fax Number:
615-321-6374
Provider Enumeration Date:
09/15/2006