Provider First Line Business Practice Location Address:
BOX 70568, EAST TENNESSEE STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY -QUILLEN COLLEGE OF MEDICINE
Provider Business Practice Location Address City Name:
JOHNSON CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-439-6210
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/23/2014