Provider First Line Business Practice Location Address:
2100 W. CLINCH AVE STE 120
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:
37916-2219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-637-7290
Provider Business Practice Location Address Fax Number:
865-637-7289
Provider Enumeration Date:
10/06/2006