Provider First Line Business Practice Location Address:
400 N. HIGHLAND AVE.
Provider Second Line Business Practice Location Address:
MIDDLE TENNESSEE MEDICAL CENTER
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-284-8484
Provider Business Practice Location Address Fax Number:
615-284-3854
Provider Enumeration Date:
05/28/2006