=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972941722
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPLETE HEALTH TECHNOLOGIES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2013
-----------------------------------------------------
Last Update Date | 03/03/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1019 PHYSICIANS DR SUITE B
-----------------------------------------------------
City | CHARLESTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29414-5746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-763-2515
-----------------------------------------------------
Fax | 770-770-1872
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2001 WESTSIDE PKWY SUITE 210
-----------------------------------------------------
City | ALPHARETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30004-4994
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-777-1868
-----------------------------------------------------
Fax | 770-777-1872
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | SCOTT HUNTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 678-638-2740
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 14008
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------