Provider First Line Business Practice Location Address:
2725 ASBURY RD
Provider Second Line Business Practice Location Address:
STE 102
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37914-6441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-329-3338
Provider Business Practice Location Address Fax Number:
865-329-3333
Provider Enumeration Date:
02/29/2008