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Organization
WK SOUTH SHREVEPORT WOMENS HEALTH CLINIC
Active
Organization
WK SOUTH SHREVEPORT WOMENS HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4232
Entity
Organization
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 207, SHREVEPORT, LA 71118-3133
(318) 212-5343
(318) 212-5360
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 207, SHREVEPORT, LA 71118-3133
(318) 212-5343
(318) 212-5360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/23/2009
Last updated
06/08/2012
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