Provider Demographics
NPI:1992001853
Name:COMPLETE RURAL HEALTHCARE AND MEDICAL CENTER PLLC
Entity Type:Organization
Organization Name:COMPLETE RURAL HEALTHCARE AND MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
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 1:2146 JACKSBORO PIKE SUITE C
Mailing Address - Street 2:
Mailing Address - City:LAFOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766
Mailing Address - Country:US
Mailing Address - Phone:423-566-4648
Mailing Address - Fax:
Practice Address - Street 1:2146 JACKSBORO PIKE SUITE C
Practice Address - Street 2:
Practice Address - City:LAFOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766
Practice Address - Country:US
Practice Address - Phone:423-566-4648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty