Organization
COMPLETE FAMILY CARE OF KNOXVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SUGANTHARAJ MD (OWNER)
(865) 357-8861
Entity
Organization
Contact information
Practice address
1612 DOWNTOWN WEST BLVD, KNOXVILLE, TN 37919-5408
(865) 357-8861
(865) 357-8866
Mailing address
1612 DOWNTOWN WEST BLVD, KNOXVILLE, TN 37919-5408
(865) 357-8861
(865) 357-8866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000009519
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370189
—
TN
Enumeration date
02/13/2007
Last updated
06/03/2014
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