Provider First Line Business Practice Location Address:
11616 CHAPMAN HIGHWAY
Provider Second Line Business Practice Location Address:
EAST TN CHILDREN'S HOSPITAL SEYMOUR PEDIATRICS
Provider Business Practice Location Address City Name:
SEYMOUR
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37865-3665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-579-7320
Provider Business Practice Location Address Fax Number:
865-406-8173
Provider Enumeration Date:
10/22/2013