Provider Demographics
NPI:1720397169
Name:COMPLETE HEALTHCARE AND MEDICAL CENTER PLLC
Entity Type:Organization
Organization Name:COMPLETE HEALTHCARE AND MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MURUGESEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DHANDAPANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-566-4748
Mailing Address - Street 1:2425 JACKSBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-2908
Mailing Address - Country:US
Mailing Address - Phone:423-566-4748
Mailing Address - Fax:423-566-4119
Practice Address - Street 1:2425 JACKSBORO PIKE
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-2908
Practice Address - Country:US
Practice Address - Phone:423-566-4748
Practice Address - Fax:423-566-4119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty