Provider First Line Business Practice Location Address:
3000 GETWELL ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-422-5706
Provider Business Practice Location Address Fax Number:
901-542-0167
Provider Enumeration Date:
07/26/2022