Provider First Line Business Practice Location Address:
141 N MARTINWOOD RD
Provider Second Line Business Practice Location Address:
YOUR JOURNEYS 104-7
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37923-5137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-244-0888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2008