Provider First Line Business Practice Location Address:
3221 W JOHN SEVIER HWY
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:
37920-5540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-579-3000
Provider Business Practice Location Address Fax Number:
865-579-3056
Provider Enumeration Date:
01/26/2010