Back to Search
DIVINE HEALTH PRIMARY CARE CLINIC, LLC
Internal Medicine Physician
NPI: 1548528854Organization
Specialties, Licenses & Credentials
Internal Medicine PhysicianPrimary
Internal Medicine
Code: 207R00000X
203609(LA)
Contact & Hours
- Address
- 1401 EZELL STREET
RUSTON, LA 71270 - Phone
- (318) 259-1204
Quick Facts
- NPI
- 1548528854
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
Are you this provider?
Claim Your Profile