| Complete Family Care Of Knoxville Pllc | |
|
1612 Downtown West Blvd Knoxville TN 37919-5408 | |
| (865) 357-8861 | |
| (865) 357-8866 |
| Full Name | Complete Family Care Of Knoxville Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1612 Downtown West Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Andrew Sugantharaj (OWNER) |
| Authorized Official Contact | 8653578861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Care Of Knoxville Pllc 1612 Downtown West Blvd Knoxville TN 37919-5408 Ph: (865) 357-8861 | Complete Family Care Of Knoxville Pllc 1612 Downtown West Blvd Knoxville TN 37919-5408 Ph: (865) 357-8861 |
| NPI Number | 1760524029 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760524029 | NPI | - | NPPES |
| 3370189 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD0000009519 (Tennessee) | Primary |
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