Provider First Line Business Practice Location Address:
UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
Provider Second Line Business Practice Location Address:
874 UNION AVE, RM 325
Provider Business Practice Location Address City Name:
OLIVE BRANCH
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38654-3780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-448-6218
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2024