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Organization

ADERONKE AKINGBOLA MD AND WILLIS-KNIGHTON MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-5806
Entity
Organization

Contact information

Practice address
2514 BERT KOUNS LOOP, SUITE 1, SHREVEPORT, LA 71118-3146
(318) 212-5806
(318) 212-5810
Mailing address
2514 BERT KOUNS LOOP, SUITE 1, SHREVEPORT, LA 71118-3146
(318) 212-5806
(318) 212-5810

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
06/18/2006
Last updated
08/22/2020
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