Provider First Line Business Practice Location Address:
2018 W CLINCH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37916-2301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-541-8000
Provider Business Practice Location Address Fax Number:
865-539-8008
Provider Enumeration Date:
10/09/2008