Provider First Line Business Practice Location Address:
500 DECATUR PIKE
Provider Second Line Business Practice Location Address:
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:
423-745-2500
Provider Business Practice Location Address Fax Number:
423-745-2571
Provider Enumeration Date:
02/12/2007