Provider First Line Business Practice Location Address:
10710 MURDOCK RD
Provider Second Line Business Practice Location Address:
STE 104
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37932-3257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-777-1212
Provider Business Practice Location Address Fax Number:
865-675-2709
Provider Enumeration Date:
07/10/2006