Provider First Line Business Practice Location Address:
900 EAST HILL AVE, SUITE 145
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:
37915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-247-0065
Provider Business Practice Location Address Fax Number:
865-247-0066
Provider Enumeration Date:
01/29/2007