Organization
ABUNDANT HEALTHCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLON KENT CRAFT (EVP/CFO)
(318) 949-5515
Entity
Organization
Contact information
Practice address
130 SERRAL DR, GREENEVILLE, TN 37745-3074
(423) 638-7499
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5515
(318) 949-5555
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
01/27/2021
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