Provider Demographics
NPI:1053727453
Name:COMPLETE MEDICAL HEALTH,LLC
Entity type:Organization
Organization Name:COMPLETE MEDICAL HEALTH,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/INCORPORATOR
Authorized Official - Prefix:
Authorized Official - First Name:SCHARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-262-9310
Mailing Address - Street 1:707 W MARKET ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2463
Mailing Address - Country:US
Mailing Address - Phone:256-262-9310
Mailing Address - Fax:256-262-9320
Practice Address - Street 1:707 W MARKET ST
Practice Address - Street 2:SUITE A
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2463
Practice Address - Country:US
Practice Address - Phone:256-262-9310
Practice Address - Fax:256-262-9320
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPLETE MEDICAL HEALTH,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty