Provider First Line Business Practice Location Address:
UNIVERSITY OF TENNESSEE
Provider Second Line Business Practice Location Address:
290 MADISON AVENUE SUITE 447
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38163-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-927-8442
Provider Business Practice Location Address Fax Number:
731-927-8441
Provider Enumeration Date:
04/08/2026