Provider First Line Business Practice Location Address:
6030 KNIGHT ARNOLD RD
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38115-3348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-795-4300
Provider Business Practice Location Address Fax Number:
901-795-4300
Provider Enumeration Date:
06/01/2006