What is EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1033145552, enumerated as a organization on June 25, 2006.

Where is the provider located?

The provider is located at 2508 BERT KOUNS LOOP SUITE 102 SHREVEPORT, LA 71118 and the phone number is (318) 671-1291.

What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER - NPI 1033145552

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About Eddie D Johnson Md & Willis-knighton Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER (NPI 1033145552) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization lists Greg J Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1033145552

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameEDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER

Location Address2508 BERT KOUNS LOOP, SUITE 102Shreveport, LA 71118-3133

Mailing Address2508 Bert Kouns Loop, Suite 102Shreveport, LA 71118-3133 · (318) 671-1291 · Fax (318) 688-6014

Phone(318) 671-1291

Fax(318) 688-6014

Organization SubpartNo

Authorized OfficialGreg J GavinNetwork Administrator · (318) 671-1291

Enumeration DateJune 25, 2006

Last NPPES UpdateOctober 2, 2007

✔ NPI 1033145552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2508 BERT KOUNS LOOP, Shreveport, LA 71118

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP