WK SOUTH SHREVEPORT FAMILY PRACTICE

SHREVEPORT, LA
NPI1346426913
Entity TypeOrganization
Authorized ContactGREG J. GAVIN
Network Administrator
318-212-4232
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2008-01-14
Last Update Date2012-06-08
Business Address
WK SOUTH SHREVEPORT FAMILY PRACTICE
2520 BERT KOUNS LOOP STE 102
SHREVEPORT, LA 71118-3130
Phone number: 318-212-5972
Mailing Address
WK SOUTH SHREVEPORT FAMILY PRACTICE
2520 BERT KOUNS LOOP STE 102
SHREVEPORT, LA 71118-3130
Phone number: 318-212-5972
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