Provider First Line Business Practice Location Address:
1114 E WEISGARBER RD
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-558-8839
Provider Business Practice Location Address Fax Number:
865-588-3781
Provider Enumeration Date:
10/03/2006