Provider First Line Business Practice Location Address:
8020 ASHEVILLE HWY
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:
37924-3005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-465-6100
Provider Business Practice Location Address Fax Number:
865-465-6101
Provider Enumeration Date:
09/11/2023