Provider First Line Business Practice Location Address: 
6800 BAUM DR
    Provider Second Line Business Practice Location Address: 
BUILDING 2
    Provider Business Practice Location Address City Name: 
KNOXVILLE
    Provider Business Practice Location Address State Name: 
TN
    Provider Business Practice Location Address Postal Code: 
37919-7315
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
865-374-7100
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
08/26/2009