Provider First Line Business Practice Location Address:
MIDDLE TENNESSEE STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
1301 EAST MAIN STREET
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37132-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-904-8192
Provider Business Practice Location Address Fax Number:
615-898-5020
Provider Enumeration Date:
07/18/2006