# WILLIS-KNIGHTON MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLIS-KNIGHTON MEDICAL CENTER, INC.
- **Other names:** WK Bossier Womens Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215129507
- **Legal business name:** WILLIS-KNIGHTON MEDICAL CENTER, INC.
- **Authorized official:** GREG J. GAVIN (NETWORK ADMINISTRATOR)
- **Authorized official phone:** (318) 212-4232

## Contact information

- **Practice address:** 2300 HOSPITAL DR, SUITE 140, BOSSIER CITY, LA 71111-2394
- **Practice address phone:** (318) 746-4842
- **Practice address fax:** (318) 746-2326
- **Mailing address:** 2300 HOSPITAL DR, SUITE 140, BOSSIER CITY, LA 71111-2394
- **Mailing address phone:** (318) 746-4842
- **Mailing address fax:** (318) 746-2326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 12/20/2011