J Woodfin Wilson MD & Willis-Knighton Medical Center

NPI #1265463285 in Shreveport, Louisiana

Provider Information

NPI Number: 1265463285
Entity Type: Organization
Organization Name: J Woodfin Wilson MD & Willis-Knighton Medical Center
Primary Specialty: Internal Medicine
Enumeration Date: Jul 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8001 YOUREE DR
Address 2: SUITE 450
City: Shreveport
State: Louisiana
ZIP Code: 71115-2302
Phone: (318) 212-3952

Authorized Official

Name: GREG J. GAVIN
Title: NETWORK ADMINISTRATOR
Phone: (318) 212-3952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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