Provider First Line Business Practice Location Address:
125 TOWN CREEK RD E STE 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LENOIR CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37772-5690
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-632-5700
Provider Business Practice Location Address Fax Number:
865-632-5778
Provider Enumeration Date:
06/29/2026