# JANET L MOREHOUSE MD AND WILLIS-KNIGHTON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154359867
- **Authorized official:** GREG J GAVIN (NETWORK ADMINISTRATOR)
- **Authorized official phone:** (318) 965-1795

## Contact information

- **Practice address:** 188 BURT BLVD, SUITE A, BENTON, LA 71006-4900
- **Practice address phone:** (318) 965-1795
- **Practice address fax:** (318) 965-5505
- **Mailing address:** PO BOX 1058, BENTON, LA 71006-1058
- **Mailing address phone:** (318) 965-1795
- **Mailing address fax:** (318) 965-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 08/22/2020