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.
Identifier | Type | State | Issuer |
---|---|---|---|
1245440940 | 01 | LA | INDIVIDUAL NPI |
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