Provider First Line Business Practice Location Address:
4041 KNIGHT ARNOLD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38118-2128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-572-1573
Provider Business Practice Location Address Fax Number:
901-360-0865
Provider Enumeration Date:
07/29/2024