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Organization
WK PIERREMONT HOSPITALISTS
Active
Organization
WK PIERREMONT HOSPITALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4232
Entity
Organization
Contact information
Practice address
8001 YOUREE DR, SUITE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
(318) 212-3825
Mailing address
8001 YOUREE DR, SUITE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
(318) 212-3825
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449164
—
LA
Enumeration date
06/25/2006
Last updated
01/07/2016
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