Provider First Line Business Practice Location Address:
1400 DOWELL SPRINGS ROAD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37909-1292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-246-1958
Provider Business Practice Location Address Fax Number:
865-246-0955
Provider Enumeration Date:
07/29/2005