NPI | 1891009437 |
---|---|
Doing Business As | WILLIS KNIGHTON INTERNAL MEDICINE PIERREMONT SUITE 550 |
Entity Type | Organization |
Authorized Contact | JARED THOMAS BEVILLE VP Wk Physician Network 318-719-4950 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2010-08-05 |
Last Update Date | 2024-10-01 |