Provider First Line Business Practice Location Address:
215 CENTER PARK DRIVE
Provider Second Line Business Practice Location Address:
STE 500
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37922-2100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-966-0500
Provider Business Practice Location Address Fax Number:
865-966-0502
Provider Enumeration Date:
06/27/2006