Provider First Line Business Practice Location Address:
4870 UNIVERSITY DR PISO 2 SOUTHERN ADVENTIST UNIVERSITY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLLEGEDALE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-518-6833
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2026