Organization
ANDREW OYOUNG MD AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 688-0173
Entity
Organization
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71118-3133
(318) 688-0173
(318) 632-5369
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 105, SHREVEPORT, LA 71118-3133
(318) 688-0173
(318) 632-5369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
08/22/2020
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