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1033145552
EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1033145552
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-671-1291
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-06-25
Last Update Date
2007-10-02
Business Address
EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-671-1291
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Mailing Address
EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER
2508 BERT KOUNS LOOP SUITE 102
SHREVEPORT, LA 71118-3133
Phone number: 318-671-1291
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