Provider First Line Business Practice Location Address:
7200 STRAWBERRY PLAINS PIKE
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:
37914-9589
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-240-3038
Provider Business Practice Location Address Fax Number:
855-576-2235
Provider Enumeration Date:
03/22/2023