Provider First Line Business Practice Location Address:
UNIVERSITY OF TENNESSEE
Provider Second Line Business Practice Location Address:
66 N. PAULINE ST, SUITE 633
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38163-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-448-5900
Provider Business Practice Location Address Fax Number:
901-448-7041
Provider Enumeration Date:
03/23/2007