Provider First Line Business Practice Location Address:
UT PRIMARY CARE LENOIR CITY
Provider Second Line Business Practice Location Address:
5779 CREEKWOOD BLVD., STE 220
Provider Business Practice Location Address City Name:
LENOIR CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
95111-1917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-670-6740
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2006