Provider First Line Business Practice Location Address:
725 NORTH ASHLEY RIDGE LOOP
Provider Second Line Business Practice Location Address:
RANKIN FAMILY MEDICINE, SUITE #400
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-213-1030
Provider Business Practice Location Address Fax Number:
318-213-1031
Provider Enumeration Date:
10/19/2007