Provider First Line Business Practice Location Address:
4600 ASHEVILLE 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:
37914-3665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-522-8114
Provider Business Practice Location Address Fax Number:
866-550-6541
Provider Enumeration Date:
06/21/2007