Provider First Line Business Practice Location Address:
144 MEDICAL CENTER DRIVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COPPERHILL
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-496-8150
Provider Business Practice Location Address Fax Number:
423-496-7095
Provider Enumeration Date:
08/10/2006