Provider First Line Business Practice Location Address:
1748 W. ANDREW JOHNSON HWY.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORRISTOWN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-289-1844
Provider Business Practice Location Address Fax Number:
423-289-1232
Provider Enumeration Date:
03/26/2007