Provider First Line Business Practice Location Address:
2018 CLINCH AVENUE, SOUTH TOWER 2ND FLOOR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37916-2301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-971-7400
Provider Business Practice Location Address Fax Number:
865-246-7561
Provider Enumeration Date:
06/21/2007