Organization
NEALAN D PRATHER MD AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-7910
Entity
Organization
Contact information
Practice address
2400 HOSPITAL DR, SUITE 420, BOSSIER CITY, LA 71111-2385
(318) 212-7910
(318) 212-7915
Mailing address
2400 HOSPITAL DR, SUITE 420, BOSSIER CITY, LA 71111-2385
(318) 212-7910
(318) 212-7915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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