Provider First Line Business Practice Location Address:
6216 HIGHLAND PLACE WAY
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37919-4000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-243-8100
Provider Business Practice Location Address Fax Number:
865-243-8101
Provider Enumeration Date:
07/29/2011