Provider First Line Business Practice Location Address:
1 MEDICAL CENTER BOULEVARD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
COOKEVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-783-2726
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2006