Organization
JC CLINICAL SERVICES
Active
Other names
CLAIBORNE CLINICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S BANNISTER (DIRECTOR)
(888) 505-1989
Entity
Organization
Contact information
Practice address
831 W MAIN ST, HOMER, LA 71040-3322
(888) 505-1989
(318) 404-1956
Mailing address
PO BOX 729, BENTON, LA 71006-0729
(888) 505-1989
(318) 404-1956
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
07/23/2024
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