Provider First Line Business Practice Location Address:
7675 OAK RIDGE 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:
37931-3336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-253-7077
Provider Business Practice Location Address Fax Number:
865-253-7906
Provider Enumeration Date:
03/10/2025