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Samantha Primm, PA-C
NPI 1962917922 · on the registry since 2017
Practice
- Address
- 1200 S Farmerville St
Ruston, LA 71270 - Phone
- (318) 255-3690
- Fax
- (318) 251-6116
- Organisation at this address
- Clhg-Ruston Llc
Green Clinic Llc
Green Clinic Llc
Green Clinic Llc
Green Clinic LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 65
Additional practice sites
- 1401 Celebrity Drive, Ruston, LA
- 1809 Northpointe Ln Ste 102, Ruston, LA
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- AR, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana