| Delta Genetic Counseling, Llc | |
|
366 Stow Creek Rd Ruston LA 71270-1643 | |
| (318) 278-1861 | |
| (318) 202-5193 |
| Full Name | Delta Genetic Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 366 Stow Creek Rd, Ruston, Louisiana |
| Authorized Official Name and Position | Rebecca S Clark (PRESIDENT) |
| Authorized Official Contact | 3182781861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Genetic Counseling, Llc Po Box 632 Ruston LA 71273-0632 Ph: (318) 278-1861 | Delta Genetic Counseling, Llc 366 Stow Creek Rd Ruston LA 71270-1643 Ph: (318) 278-1861 |
| NPI Number | 1942500244 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942500244 | NPI | - | NPPES |
| 2133187 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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