Organization
TRUBLU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALMAGE JEREMY WHITEHEAD (PRESIDENT/CFO)
(870) 347-2534
Entity
Organization
Contact information
Practice address
117 S 2ND ST, AUGUSTA, AR 72006-2309
(870) 347-2534
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-3475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/13/2025
Last updated
01/29/2026
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