Organization
KIN HOOD MD AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 949-2495
Entity
Organization
Contact information
Practice address
1025 HIGHWAY 80, HAUGHTON, LA 71037-7425
(318) 949-2495
(318) 949-0249
Mailing address
1025 HIGHWAY 80, HAUGHTON, LA 71037-7425
(318) 949-2495
(318) 949-0249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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