Provider First Line Business Practice Location Address:
6363 POPLAR AVENUE/KARDIA COLLECTIVE
Provider Second Line Business Practice Location Address:
SUITE 404
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-428-5462
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2016