DIVINE HEALTH PRIMARY CARE CLINIC, LLC

Internal Medicine

Active Organization
NPI: 1548528854

Practice Address

1401 EZELL STREET
Ruston, LA 71270

Phone: (318) 259-1204

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 203609 (LA)

Frequently Asked Questions

NPI 1548528854 is the National Provider Identifier for DIVINE HEALTH PRIMARY CARE CLINIC, LLC, a Internal Medicine provider located in Ruston, LA. This NPI was enumerated on April 25, 2012.

Quick Facts

NPI
1548528854
Type
Organization
Enumerated
Apr 25, 2012
Last Updated
Apr 25, 2012

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