Provider First Line Business Practice Location Address:
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38163-1838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-981-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2022