Provider First Line Business Practice Location Address:
961 SPRING CREEK RD
Provider Second Line Business Practice Location Address:
CHATTANOOGA FAMILY PRACTICE ASSOCIATES PC
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37412-3909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-892-2221
Provider Business Practice Location Address Fax Number:
423-490-3407
Provider Enumeration Date:
02/15/2006