Provider First Line Business Practice Location Address:
6231 HIGHLAND PLACE WAY STE 201
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:
37919-4083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-584-8547
Provider Business Practice Location Address Fax Number:
865-584-5932
Provider Enumeration Date:
02/01/2007