Provider First Line Business Practice Location Address:
1651 GUNBARREL RD
Provider Second Line Business Practice Location Address:
STE 301 GALEN MEDICAL GROUP
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-899-2580
Provider Business Practice Location Address Fax Number:
423-308-0277
Provider Enumeration Date:
02/14/2006