Graduated: 2021
NPI: 1457006249
Practice Locations (3)
VANDERBILT INTEGRATED PROVIDERS LLC
1400 WILLOW DR
MANCHESTER, TN 373552438
9314092194
VANDERBILT INTEGRATED PROVIDERS LLC
1801 N JACKSON ST
TULLAHOMA, TN 373888259
9313933000
VANDERBILT INTEGRATED PROVIDERS LLC
1805 N JACKSON ST
TULLAHOMA, TN 373882290
9314614521
Source: CMS National Downloadable File, September 2026.