Healthcare Provider Details

I. General information

NPI: 1023044591
Provider Name (Legal Business Name): COMPLETE HEALTH DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 04/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8807 TWO NOTCH RD
COLUMBIA SC
29223-6522
US

IV. Provider business mailing address

4550 N POINT PKWY SUITE 220
ALPHARETTA GA
30022-2445
US

V. Phone/Fax

Practice location:
  • Phone: 803-865-1610
  • Fax: 803-865-1136
Mailing address:
  • Phone: 770-777-1868
  • Fax: 770-777-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT A. HUNTER
Title or Position: VP OF OPERATIONS
Credential:
Phone: 770-777-1868