Provider First Line Business Practice Location Address:
4409 CHAPMAN HWY STE W
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:
37920-4326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-553-1322
Provider Business Practice Location Address Fax Number:
615-549-7044
Provider Enumeration Date:
01/15/2025