Provider First Line Business Practice Location Address:
423 MEDICAL PARK DR
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
LENOIR CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37772-5640
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:
08/13/2009