Provider First Line Business Practice Location Address:
225 N HOBBS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37934-0828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-675-2527
Provider Business Practice Location Address Fax Number:
865-675-0998
Provider Enumeration Date:
08/22/2006