Provider First Line Business Practice Location Address:
1924 ALCOA HWY
Provider Second Line Business Practice Location Address:
UT MEDICAL CENTER, MOB A, SUITE 435
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37920-1511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-544-9030
Provider Business Practice Location Address Fax Number:
865-544-6675
Provider Enumeration Date:
03/16/2006