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1003847013
PAUL S WILSON MD AND WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1003847013
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-3970
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-07-06
Last Update Date
2020-08-22
Business Address
PAUL S WILSON MD AND WILLIS-KNIGHTON MEDICAL CENTER
1666 E BERT KOUNS INDUSTRIAL LOOP SUITE 230
SHREVEPORT, LA 71105-5714
Phone number: 318-212-3970
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Mailing Address
PAUL S WILSON MD AND WILLIS-KNIGHTON MEDICAL CENTER
1666 E BERT KOUNS INDUSTRIAL LOOP SUITE 230
SHREVEPORT, LA 71105-5714
Phone number: 318-212-3970
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