Organization
CLHG-RUSTON LLC
Active
Other names
Allegiance Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY M HALL (CEO)
(318) 254-2450
Entity
Organization
Contact information
Practice address
1200 CELEBRITY DR, RUSTON, LA 71270-3893
(318) 254-2100
Mailing address
1200 CELEBRITY DR, RUSTON, LA 71270-3893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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