Organization
GERARDON NEGRON AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4571
Entity
Organization
Contact information
Practice address
2551 GREENWOOD RD, SUITE 150, SHREVEPORT, LA 71103-3981
(318) 631-9996
(318) 631-9345
Mailing address
2551 GREENWOOD RD, SUITE 150, SHREVEPORT, LA 71103-3981
(318) 631-9996
(318) 631-9345
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
01/22/2008
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