Provider First Line Business Practice Location Address:
6539 KNIGHT ARNOLD ROAD EXT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38115-0697
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-654-3070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2014