institution
Divine Health Primary Care Clinic, Llc
Internal Medicine Physician in Ruston, Louisiana
NPI 1548528854

Divine Health Primary Care Clinic, Llc is a Internal Medicine Physician based in Ruston, LA. Divine Health Primary Care Clinic, Llc practices in Ruston, LA. The NPI Number for Divine Health Primary Care Clinic, Llc is 1548528854 and holds a License No. 203609 (Louisiana).

The current practice location address for Divine Health Primary Care Clinic, Llc is 1401 Ezell Street, Ruston, LA and can be reached out via phone at 318-259-1204 and via fax at 318-259-1255.

Location: 1401 Ezell Street, Ruston, LA, 71270-7218
institution
Provider Profile Details
NPI Number
1548528854
Provider Name
Divine Health Primary Care Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1401 Ezell Street, Ruston, LA, 71270-7218
Phone Number
318-259-1204
Fax Number
318-259-1255
Provider Enumeration Date
04/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1245440940 01 LA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1401 Ezell Street
City
State
Zip
71270-7218
Phone Number
318-259-1204
Fax Number
318-259-1255
person
Provider Business Mailing Address Details
Address
1401 Ezell Street
City
State
Zip
71270-7218
Phone Number
318-259-1204
Fax Number
318-259-1255
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
203609 (Louisiana)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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