Provider First Line Business Practice Location Address:
2905 TAZEWELL PIKE
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:
37918-1874
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-686-1600
Provider Business Practice Location Address Fax Number:
865-686-3380
Provider Enumeration Date:
01/03/2008