Provider First Line Business Practice Location Address:
METHODIST LEBONHEUR GERMANTOWN HOSPITAL
Provider Second Line Business Practice Location Address:
7691 POPLAR AVENUE
Provider Business Practice Location Address City Name:
GERMANTOWN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-516-6433
Provider Business Practice Location Address Fax Number:
901-388-8359
Provider Enumeration Date:
04/19/2011