Provider First Line Business Practice Location Address:
162 MARKET PLACE BLVD
Provider Second Line Business Practice Location Address:
STE D
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37922-2337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-212-6600
Provider Business Practice Location Address Fax Number:
865-313-2149
Provider Enumeration Date:
11/20/2009