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Organization

CHESLEY L. GREGORY, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHESLEY LELWYNN GREGORY MD (MD/OWNER)
(318) 256-2000
Entity
Organization

Contact information

Practice address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-2000
(318) 256-6237
Mailing address
PO BOX 52311, CHESLEY L. GREGORY, MD, PLLC, SHREVEPORT, LA 71135
(318) 798-4539
(318) 798-4601

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208M00000X
Hospitalist Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578240
LA
Enumeration date
06/29/2009
Last updated
01/21/2014
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