| Rankin Family Medicine | |
|
725 North Ashley Ridge Loop Rankin Family Medicine, Suite #400 Shreveport LA 71106 | |
| (318) 213-1030 | |
| (318) 213-1031 |
| Full Name | Rankin Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 725 North Ashley Ridge Loop, Shreveport, Louisiana |
| Authorized Official Name and Position | Christopher J Rankin (MD/SOLE OWNER) |
| Authorized Official Contact | 3182131030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rankin Family Medicine Po Box 6795 Rankin Family Medicine Shreveport LA 71136-6795 Ph: (318) 213-1030 | Rankin Family Medicine 725 North Ashley Ridge Loop Rankin Family Medicine, Suite #400 Shreveport LA 71106 Ph: (318) 213-1030 |
| NPI Number | 1609065275 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 09/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609065275 | NPI | - | NPPES |
| 2119753 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25685 (Louisiana) | Primary |
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Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
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