Provider First Line Business Practice Location Address:
5006 UNIVERSITY DR W STE 1200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLLEGEDALE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37315-5006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-396-2100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/05/2024