Provider First Line Business Practice Location Address:
2101 MEDICAL CENTER WAY
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:
37920-3257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-626-4291
Provider Business Practice Location Address Fax Number:
423-626-2525
Provider Enumeration Date:
06/22/2011