Provider First Line Business Practice Location Address:
3508 MARYVILLE PIKE
Provider Second Line Business Practice Location Address:
ARROWHEAD CENTER
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37920-6195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-573-6666
Provider Business Practice Location Address Fax Number:
865-579-4045
Provider Enumeration Date:
05/23/2006