Provider First Line Business Practice Location Address:
1044 STATE HWY 48
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CUMBERLAND FURNACE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-341-7432
Provider Business Practice Location Address Fax Number:
615-789-6596
Provider Enumeration Date:
07/21/2006