Provider First Line Business Practice Location Address:
110 N CAMPBELL STATION RD
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:
37934
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-672-5070
Provider Business Practice Location Address Fax Number:
865-671-6680
Provider Enumeration Date:
11/04/2005