| Wk Northwest Louisiana Infectious Disease Consultants | |
|
2551 Greenwood Rd Suite 150 Shreveport LA 71103-3981 | |
| (318) 212-6888 | |
| (318) 212-6890 |
| Full Name | Wk Northwest Louisiana Infectious Disease Consultants |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2551 Greenwood Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3184244232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Northwest Louisiana Infectious Disease Consultants 1202 Louisiana Ave Shreveport LA 71101-3910 Ph: (318) 212-8946 | Wk Northwest Louisiana Infectious Disease Consultants 2551 Greenwood Rd Suite 150 Shreveport LA 71103-3981 Ph: (318) 212-6888 |
| NPI Number | 1679851893 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679851893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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