Provider First Line Business Practice Location Address:
670 COLONIAL
Provider Second Line Business Practice Location Address:
SUITE 6 DR. MARRIO SMILES PLLC
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-537-0077
Provider Business Practice Location Address Fax Number:
901-537-0088
Provider Enumeration Date:
08/01/2006