Organization
WK CENTER FOR WOMENS HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4232
Entity
Organization
Contact information
Practice address
8001 YOUREE DR, SUITE 320, SHREVEPORT, LA 71115-2302
(318) 212-2870
(318) 212-2875
Mailing address
8001 YOUREE DR, SUITE 320, SHREVEPORT, LA 71115-2302
(318) 212-2870
(318) 212-2875
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/26/2012
Last updated
06/26/2012
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