Provider First Line Business Practice Location Address:
1010 MOUNT ZION ROAD
Provider Second Line Business Practice Location Address:
WEST TENNESSEE PUBLIC HEALTH OFFICE
Provider Business Practice Location Address City Name:
UNION CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38281-0190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-884-2645
Provider Business Practice Location Address Fax Number:
731-884-2650
Provider Enumeration Date:
02/23/2007