Provider First Line Business Practice Location Address:
2330 MERCHANTS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37912-5136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-687-5660
Provider Business Practice Location Address Fax Number:
865-687-0279
Provider Enumeration Date:
01/26/2007