Gpn-Leesville, LLC

NPI #1013494186 in Leesville, Louisiana

Provider Information

NPI Number: 1013494186
Entity Type: Organization
Organization Name: Gpn-Leesville, LLC
Primary Specialty: Hospitalist
Enumeration Date: Jul 23, 2018
Last Updated: Jul 23, 2018

Practice Location

Address: 1020 W FERTITTA BLVD
City: Leesville
State: Louisiana
ZIP Code: 71446-4645
Phone: (337) 239-9041

Authorized Official

Name: CHRIS BEDDOE
Title: CEO
Phone: (318) 256-5691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Hospitalist	208M00000X	Primary

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