Provider First Line Business Practice Location Address:
JAMES H. QUILLEN VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
CORNER OF LAMONT & VETERANS WAY
Provider Business Practice Location Address City Name:
MOUNTAIN HOME
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37684-4000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-926-1171
Provider Business Practice Location Address Fax Number:
423-979-3476
Provider Enumeration Date:
11/23/2005