Provider First Line Business Practice Location Address:
1415 OLD WEISGARBER RD
Provider Second Line Business Practice Location Address:
STE 120
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37909-1292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-684-2600
Provider Business Practice Location Address Fax Number:
865-684-2619
Provider Enumeration Date:
11/12/2009