Provider First Line Business Practice Location Address:
7100 ADAMS ST.
Provider Second Line Business Practice Location Address:
FAIRVIEW MEDICAL GROUP
Provider Business Practice Location Address City Name:
FAIRVIEW
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-799-1927
Provider Business Practice Location Address Fax Number:
931-670-6527
Provider Enumeration Date:
04/12/2006