Clhg-ruston Llc | |
401 E Vaughn Ave Ruston LA 71270-5950 | |
(318) 254-2100 | |
Not Available |
Full Name | Clhg-ruston Llc |
---|---|
Speciality | Pediatrics |
Location | 401 E Vaughn Ave, Ruston, Louisiana |
Authorized Official Name and Position | Autumn Fulmer (DIRECTOR OF CLINIC OPERATIONS) |
Authorized Official Contact | 3183722017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clhg-ruston Llc 401 E Vaughn Ave Ruston LA 71270-5950 Ph: () - | Clhg-ruston Llc 401 E Vaughn Ave Ruston LA 71270-5950 Ph: (318) 254-2100 |
NPI Number | 1477210342 |
---|---|
Provider Enumeration Date | 11/26/2021 |
Last Update Date | 11/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477210342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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