Provider First Line Business Practice Location Address:
2937 ESSARY RD.
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-686-0050
Provider Business Practice Location Address Fax Number:
865-686-0053
Provider Enumeration Date:
02/27/2012