Gpn-Leesville, LLC

NPI #1366929432 in Leesville, Louisiana

Provider Information

NPI Number: 1366929432
Entity Type: Organization
Organization Name: Gpn-Leesville, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 23, 2018
Last Updated: Jul 30, 2018

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Otolaryngology	207Y00000X
Surgery	208600000X
Urology	208800000X
Family Medicine	207Q00000X	Primary

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