Eddie D Johnson MD & Willis-Knighton Medical Center
NPI #1033145552 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1033145552
- Entity Type
- Organization
- Organization Name
- Eddie D Johnson MD & Willis-Knighton Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 25, 2006
- Last Updated
- Oct 2, 2007
Practice Location
- Address
- 2508 BERT KOUNS LOOP
- Address 2
- SUITE 102
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71118-3133
- Phone
- (318) 671-1291
Authorized Official
- Name
- GREG J GAVIN
- Title
- NETWORK ADMINISTRATOR
- Phone
- (318) 671-1291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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