Provider First Line Business Practice Location Address:
900 EAST 3RD STREET
Provider Second Line Business Practice Location Address:
CHILD NEUROLOGY
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-778-5437
Provider Business Practice Location Address Fax Number:
423-778-4232
Provider Enumeration Date:
04/13/2015