Organization
DEANNA DONLEY MD AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-8780
Entity
Organization
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 403, SHREVEPORT, LA 71118-3133
(318) 212-5060
(318) 212-5025
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 403, SHREVEPORT, LA 71118-3133
(318) 212-5060
(318) 212-5025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
10/01/2013
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