Organization
GARY WILLIAMS MD AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4232
Entity
Organization
Contact information
Practice address
2520 BERT KOUNS INDUSTRIAL LOOP, SUITE 202, SHREVEPORT, LA 71118-3130
(318) 212-5040
(318) 212-5045
Mailing address
2520 BERT KOUNS INDUSTRIAL LOOP, SUITE 202, SHREVEPORT, LA 71118-3130
(318) 212-5040
(318) 212-5045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
06/11/2012
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