Provider First Line Business Practice Location Address:
2000 NORTH PARKWAY
Provider Second Line Business Practice Location Address:
HEALTH SERVICES
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-843-3895
Provider Business Practice Location Address Fax Number:
901-255-0434
Provider Enumeration Date:
09/08/2020