Provider First Line Business Practice Location Address:
625 BAKERS BRIDGE AVE STE 101
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37067-1788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-505-5079
Provider Business Practice Location Address Fax Number:
713-505-5079
Provider Enumeration Date:
04/14/2009