Provider First Line Business Practice Location Address:
5959 PARK AVENUE
Provider Second Line Business Practice Location Address:
ST FRANCIS HOSPITAL
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38119-5198
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-432-0173
Provider Business Practice Location Address Fax Number:
901-854-1585
Provider Enumeration Date:
11/08/2006