Provider First Line Business Practice Location Address:
UNIVERSITY OF TENNESSEE
Provider Second Line Business Practice Location Address:
910 MADISON AVENUE, SUITE 1031
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38163-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-448-5364
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2012