NPI 1003847013

Paul S Wilson MD and Willis-Knighton Medical Center

Organisation Internal Medicine Physician Shreveport, LA

Practice location

Address: 1666 E Bert Kouns Industrial Loop Suite 230, Shreveport, LA 71105-5714
Phone: (318) 212-3970
Fax: (318) 212-3975

Authorised official

Name: Greg J. Gavin
Title: Network Administrator
Phone: (318) 212-3970

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Louisiana →

Registry record

NPI: 1003847013
Entity type: Organization
NPI issued: 6 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.