Organization
GENTRY HAUGHTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENTRY LEE HAUGHTON DPM (PODIATRIST)
(318) 519-7555
Entity
Organization
Contact information
Practice address
592 UNADILLA ST, SHREVEPORT, LA 71106-1240
(318) 519-7555
Mailing address
PO BOX 5237, SHREVEPORT, LA 71135-5237
(318) 519-7555
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
200048
LA
Other
Enumeration date
02/22/2012
Last updated
07/18/2024
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