Healthcare Provider Details

I. General information

NPI: 1760469720
Provider Name (Legal Business Name): COMPLETE HEALTH CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1187 OAK RIDGE TPKE
OAK RIDGE TN
37830-6442
US

IV. Provider business mailing address

1187 OAK RIDGE TPKE
OAK RIDGE TN
37830-6442
US

V. Phone/Fax

Practice location:
  • Phone: 865-483-1433
  • Fax: 865-483-9986
Mailing address:
  • Phone: 865-483-1433
  • Fax: 865-483-9986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number246Z00000X
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number207PE0005X
License Number StateTN

VIII. Authorized Official

Name: MR. LYNDSAY GRAEME WILSON
Title or Position: OWNER
Credential:
Phone: 865-483-1433