Organization · NPI-2
Complete Healthcare Solutions, LLC
Clinic/Center, Primary Care · Hattiesburg, MS
NPI number1598560906
StatusActive
Last updated in NPPESFeb 18, 2025
Details
- NPI
- 1598560906
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Healthcare Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2025
- Certification date
- Feb 18, 2025
- Last updated
- Feb 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 208D00000X | General Practice | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Chaquita Henderson (Doing Business As)
Practice location
7 Professional Pkwy Ste 101Hattiesburg, MS 39402-2648
Phone 601-706-5336
Mailing address
7 Professional Pkwy Ste 101Hattiesburg, MS 39402-2648
Phone 601-706-5336
Authorized official
Chaquita Henderson
Nurse Practitioner
6014340960
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