Provider First Line Business Practice Location Address:
870 E MCLEMORE AVE
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:
38106-3218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-448-2200
Provider Business Practice Location Address Fax Number:
901-448-8485
Provider Enumeration Date:
04/19/2011