Provider First Line Business Practice Location Address:
6800 BAUM DRIVE
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:
37919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-970-9800
Provider Business Practice Location Address Fax Number:
865-380-1461
Provider Enumeration Date:
05/05/2006