Provider First Line Business Practice Location Address:
723 SPRING STREET
Provider Second Line Business Practice Location Address:
ATTN. DANA EARHART, SCHOOL NURSE
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-232-7235
Provider Business Practice Location Address Fax Number:
931-232-4608
Provider Enumeration Date:
12/26/2007