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Organization
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Active
Organization
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Active
Parent organization
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Other names
WK Bossier Womens Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4232
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 140, BOSSIER CITY, LA 71111-2394
(318) 746-4842
(318) 746-2326
Mailing address
2300 HOSPITAL DR, SUITE 140, BOSSIER CITY, LA 71111-2394
(318) 746-4842
(318) 746-2326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
12/20/2011
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