Provider First Line Business Practice Location Address:
1932 ALCOA HWY
Provider Second Line Business Practice Location Address:
UTIMIH BLDG C SUITE 470
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-400-3884
Provider Business Practice Location Address Fax Number:
423-553-8590
Provider Enumeration Date:
11/02/2007