# WILLIS-KNIGHTON MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** 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:** 1568498608
- **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:** 2514 BERT KOUNS LOOP, SUITE 6, SHREVEPORT, LA 71118-3146
- **Practice address phone:** (318) 212-5966
- **Practice address fax:** (318) 212-5963
- **Mailing address:** 2514 BERT KOUNS LOOP, SUITE 6, SHREVEPORT, LA 71118-3146
- **Mailing address phone:** (318) 212-5966
- **Mailing address fax:** (318) 212-5963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 12/13/2011