Provider First Line Business Practice Location Address:
CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC
Provider Second Line Business Practice Location Address:
616 SMITVHIEW DRIVE
Provider Business Practice Location Address City Name:
MARYVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37803-6100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-379-2277
Provider Business Practice Location Address Fax Number:
865-738-0087
Provider Enumeration Date:
07/05/2006