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Organization

CHRIS SHELBY MD AND WILLIS-KNIGHTON MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-3937
Entity
Organization

Contact information

Practice address
7843 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3937
(318) 212-3769
Mailing address
7843 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3937
(318) 212-3769

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
07/01/2006
Last updated
08/22/2020
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