Individual
GREGORY MEDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1701 COMMERCE ST, RUSTON, LA 71270-6659
(318) 224-8994
Mailing address
PO BOX 2846, RUSTON, LA 71273-2846
(318) 224-8994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8784
LA
Other
Enumeration date
05/30/2017
Last updated
04/27/2021
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