Provider First Line Business Practice Location Address:
979 EAST THIRD STREET
Provider Second Line Business Practice Location Address:
ERLANGER-SOUTHEAST REGIONAL STROCK CENTER
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-387-5511
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/29/2008