Provider First Line Business Practice Location Address:
JAMES H. QUILLEN/VAMC
Provider Second Line Business Practice Location Address:
CORNER OF SIDNEY AND LAMONT
Provider Business Practice Location Address City Name:
JOHNSON CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37684
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-979-2928
Provider Business Practice Location Address Fax Number:
423-979-3402
Provider Enumeration Date:
10/19/2006