Provider First Line Business Practice Location Address:
8727-A ASHEVILLE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-933-2451
Provider Business Practice Location Address Fax Number:
865-932-1838
Provider Enumeration Date:
02/13/2007