Provider First Line Business Practice Location Address:
2317 S ROANE ST
Provider Second Line Business Practice Location Address:
COMMUNITY CARE WALK IN CLINIC
Provider Business Practice Location Address City Name:
HARRIMAN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37748-8653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-590-0072
Provider Business Practice Location Address Fax Number:
865-590-0069
Provider Enumeration Date:
06/29/2006