Provider First Line Business Practice Location Address:
1128 E WEISGARBER RD STE 250
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37909-2633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-521-6174
Provider Business Practice Location Address Fax Number:
865-546-4065
Provider Enumeration Date:
02/19/2026