Provider First Line Business Practice Location Address:
211 E BLOUNT AVE
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37920-1614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-632-5500
Provider Business Practice Location Address Fax Number:
865-549-2620
Provider Enumeration Date:
04/06/2007