| NPI | 1689273344 |
|---|---|
| Doing Business As | VANDERBILT INTEGRATED PRIMARY CARE MADISON STREET |
| Entity Type | Organization |
| Authorized Contact | ANGELA L SIMMONS VP Finance 615-936-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2022-03-31 |