Organization
JANET L MOREHOUSE MD AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 965-1795
Entity
Organization
Contact information
Practice address
188 BURT BLVD, SUITE A, BENTON, LA 71006-4900
(318) 965-1795
(318) 965-5505
Mailing address
PO BOX 1058, BENTON, LA 71006-1058
(318) 965-1795
(318) 965-5505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
08/22/2020
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