Provider First Line Business Practice Location Address:
1250 TENNOVA MEDICAL WAY
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:
37909-3120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-895-6072
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2006