Organization
STEPHANIE SOCKRIDER MD WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 797-0101
Entity
Organization
Contact information
Practice address
8001 YOUREE DR, SUITE 320, SHREVEPORT, LA 71115-2302
(318) 797-0101
(318) 797-0010
Mailing address
8001 YOUREE DR, SUITE 320, SHREVEPORT, LA 71115-2302
(318) 797-0101
(318) 797-0010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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