Provider First Line Business Practice Location Address:
705 COOK DR. SUITE 200
Provider Second Line Business Practice Location Address:
MY FOOT DOCTOR PLLC
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-744-9399
Provider Business Practice Location Address Fax Number:
423-744-3067
Provider Enumeration Date:
05/31/2005