MEDICARE: COMPLETE HEALTH DIAGNOSTICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1316008345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HEALTH DIAGNOSTICS, INC.

Provider Business Mailing Address
First Line	:	2001 WESTSIDE PKWY
Second Line	:	SUITE 210
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-4994
Country	:	US
Telephone Number	:	770-777-1868
Fax Number	:	770-777-1872

Provider Business Practice Location Address
First Line	:	1019 PHYSICIANS DR
Second Line	:	SUITE B
City	:	CHARLESTON
State	:	SC
Zip	:	29414-5746
Country	:	US
Telephone Number	:	843-763-2515
Fax Number	:	770-770-1872

Authorized Official
Title or Position	:	VP OF OPERATIONS
Name	:	SCOTT HUNTER
Credential	:
Telephone Number	:	770-777-1868

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	03/03/2015

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