| Clhg-ruston Llc | |
|
1402 Celebrity Dr Ruston LA 71270-3878 | |
| (318) 255-1515 | |
| (318) 255-6590 |
| Full Name | Clhg-ruston Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1402 Celebrity Dr, Ruston, Louisiana |
| Authorized Official Name and Position | Kathy M Hall (CEO) |
| Authorized Official Contact | 3182542450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clhg-ruston Llc 1402 Celebrity Dr Ruston LA 71270-3878 Ph: () - | Clhg-ruston Llc 1402 Celebrity Dr Ruston LA 71270-3878 Ph: (318) 255-1515 |
| NPI Number | 1821819665 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821819665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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