Provider First Line Business Practice Location Address:
160 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38320-1618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-279-0600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2007