Provider First Line Business Practice Location Address:
210 FORT SANDERS WEST BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37922-3355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-531-5200
Provider Business Practice Location Address Fax Number:
865-531-5370
Provider Enumeration Date:
08/01/2006