Provider First Line Business Practice Location Address:
8537 ASHEVILLE HWY
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37924-4124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-225-7300
Provider Business Practice Location Address Fax Number:
865-225-7301
Provider Enumeration Date:
02/24/2014