| Complete Healthcare And Medical Center Pllc | |
|
2425 Jacksboro Pike La Follette TN 37766-2908 | |
| (423) 566-4748 | |
| (423) 566-4119 |
| Full Name | Complete Healthcare And Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2425 Jacksboro Pike, La Follette, Tennessee |
| Authorized Official Name and Position | Murugesen Dhandapani (PHYSICIAN) |
| Authorized Official Contact | 4235664748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Healthcare And Medical Center Pllc 2425 Jacksboro Pike La Follette TN 37766-2908 Ph: (423) 566-4748 | Complete Healthcare And Medical Center Pllc 2425 Jacksboro Pike La Follette TN 37766-2908 Ph: (423) 566-4748 |
| NPI Number | 1720397169 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 03/22/2022 |
| Medicare PECOS PAC ID | 5890978522 |
|---|---|
| Medicare Enrollment ID | O20110317000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720397169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Murugesen Dhandapani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306876537 PECOS PAC ID: 3577522838 Enrollment ID: I20041004000757 |
| Provider Name | Jennie M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427423078 PECOS PAC ID: 8123323532 Enrollment ID: I20160223001782 |
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