| Charles A Powers Md And Willis-knighton Medical Center | |
|
2400 Hospital Dr Suite 420 Bossier City LA 71111-2385 | |
| (318) 212-7910 | |
| (318) 212-7915 |
| Full Name | Charles A Powers Md And Willis-knighton Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182127910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Powers Md And Willis-knighton Medical Center 2400 Hospital Dr Suite 420 Bossier City LA 71111-2385 Ph: (318) 212-7910 | Charles A Powers Md And Willis-knighton Medical Center 2400 Hospital Dr Suite 420 Bossier City LA 71111-2385 Ph: (318) 212-7910 |
| NPI Number | 1003852195 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003852195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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