Provider First Line Business Practice Location Address:
801 N WEISGARBER RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37909-2706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-588-5121
Provider Business Practice Location Address Fax Number:
865-588-2126
Provider Enumeration Date:
12/21/2005