Provider First Line Business Practice Location Address:
334 HIGHWAY 92 S STE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANDRIDGE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37725-4578
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-344-8200
Provider Business Practice Location Address Fax Number:
865-940-1104
Provider Enumeration Date:
11/18/2025