Provider First Line Business Practice Location Address:
4557 MILLBRANCH RD
Provider Second Line Business Practice Location Address:
LEROY NORTON JR OD
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-346-8222
Provider Business Practice Location Address Fax Number:
901-346-8205
Provider Enumeration Date:
08/23/2005