Provider Demographics
NPI:1760469720
Name:COMPLETE HEALTH CLINICS
Entity Type:Organization
Organization Name:COMPLETE HEALTH CLINICS
Other - Org Name:CHC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNDSAY
Authorized Official - Middle Name:GRAEME
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-483-1433
Mailing Address - Street 1:1187 OAK RIDGE TPKE
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6442
Mailing Address - Country:US
Mailing Address - Phone:865-483-1433
Mailing Address - Fax:865-483-9986
Practice Address - Street 1:1187 OAK RIDGE TPKE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6442
Practice Address - Country:US
Practice Address - Phone:865-483-1433
Practice Address - Fax:865-483-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207PE0005X207PE0005X
TN246Z00000X261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
Not Answered261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain