Provider First Line Business Practice Location Address:
4600 CHAPMAN 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:
37920-4361
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-577-1213
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2006