Provider First Line Business Practice Location Address:
6555 CHAPMAN HWY
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:
37920-6554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-577-7535
Provider Business Practice Location Address Fax Number:
865-577-2042
Provider Enumeration Date:
11/01/2006