Graduated: 2015
NPI: 1124492137
Practice Locations (3)
GREEN CLINIC LLC
1200 S FARMERVILLE ST
RUSTON, LA 712705941
3182553690
GREEN CLINIC LLC
1200 S FARMERVILLE ST, GREEN CLINIC REHAB
RUSTON, LA 712705941
3182516103
GREEN CLINIC LLC
1809 NORTHPOINTE LN, 102 QUICKCARE OF RUSTON
RUSTON, LA 712703852
3182553762
Source: CMS National Downloadable File, September 2026.