Provider First Line Business Practice Location Address:
201 UPTOWN SQUARE
Provider Second Line Business Practice Location Address:
DEPRIEST CENTER
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-581-0524
Provider Business Practice Location Address Fax Number:
615-796-6911
Provider Enumeration Date:
03/15/2023