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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
Jeffery Foss MD and Willis-Knighton Medical Center
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
2514 BERT KOUNS LOOP, SUITE 6, SHREVEPORT, LA 71118-3146
(318) 212-5966
(318) 212-5963
Mailing address
2514 BERT KOUNS LOOP, SUITE 6, SHREVEPORT, LA 71118-3146
(318) 212-5966
(318) 212-5963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
12/13/2011
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