Provider First Line Business Practice Location Address:
2725 S MENDENHALL RD STE 17
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:
38115-1530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-729-6500
Provider Business Practice Location Address Fax Number:
901-729-6502
Provider Enumeration Date:
02/24/2011