Provider First Line Business Practice Location Address:
1415 OLD WEISGARBER RD
Provider Second Line Business Practice Location Address:
SUTIE 200
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:
865-934-5800
Provider Business Practice Location Address Fax Number:
865-934-5801
Provider Enumeration Date:
07/26/2005