Provider First Line Business Practice Location Address:
MTSU SPORTS MEDICINE
Provider Second Line Business Practice Location Address:
1500 GREENLAND DRIVE
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37132-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-904-8302
Provider Business Practice Location Address Fax Number:
615-904-8301
Provider Enumeration Date:
11/17/2014