Provider First Line Business Practice Location Address:
3370 JENKINS RD
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE EAST
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37421-1189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-648-8005
Provider Business Practice Location Address Fax Number:
423-648-8006
Provider Enumeration Date:
08/15/2005