Provider First Line Business Practice Location Address:
2001 LAUREL AVE STE 502
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:
37916-1876
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-331-9000
Provider Business Practice Location Address Fax Number:
865-374-2010
Provider Enumeration Date:
10/07/2020