Organization
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Active
Parent organization
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Other names
A WK Clinic for Women - South
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIS-KNIGHTON MEDICAL CENTER, INC.
Authorized official
GREG J GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4232
Entity
Organization
Contact information
Practice address
2508 BERT KOUNS LOOP, SUITE 105, SHREVEPORT, LA 71118-3133
(318) 212-8780
(318) 212-6752
Mailing address
2508 BERT KOUNS LOOP, SUITE 105, SHREVEPORT, LA 71118-3133
(318) 212-8780
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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