Provider First Line Business Practice Location Address:
7688 OAK RIDGE 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:
37931-3335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-313-2865
Provider Business Practice Location Address Fax Number:
865-313-2899
Provider Enumeration Date:
08/18/2020