Organization
CHARLES HARGON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-8620
Entity
Organization
Contact information
Practice address
2600 KINGS HWY, SUITE 340, SHREVEPORT, LA 71103-3950
(318) 212-8620
(318) 212-8625
Mailing address
2600 KINGS HWY, SUITE 340, SHREVEPORT, LA 71103-3950
(318) 212-8620
(318) 212-8625
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
04/25/2006
Last updated
12/18/2007
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