Organization
SCB SURGERY CENTER LLC
Active
Other names
Louisiana Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CALHOUN MOAK III RN (CLINICAL DIRECTOR)
(318) 278-1955
Entity
Organization
Contact information
Practice address
2480 HWY 33, RUSTON, LA 71270-2468
(318) 224-2404
(318) 224-4402
Mailing address
2480 HIGHWAY 33, RUSTON, LA 71270-5093
(318) 224-2404
(318) 224-4402
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
02/17/2025
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