Provider First Line Business Practice Location Address: 
1747 MEDICAL CENTER PKWY STE 300
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
MURFREESBORO
    Provider Business Practice Location Address State Name: 
TN
    Provider Business Practice Location Address Postal Code: 
37129-2579
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
615-225-0700
    Provider Business Practice Location Address Fax Number: 
615-225-0701
    Provider Enumeration Date: 
04/19/2011