Provider First Line Business Practice Location Address:
2800 WESTSIDE DR NW
Provider Second Line Business Practice Location Address:
SKY RIDGE MEDICAL CENTER WEST CAMPUS
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37312-3501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-339-0300
Provider Business Practice Location Address Fax Number:
423-472-5687
Provider Enumeration Date:
01/27/2012