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ATOSSA STANLEY MD AND WILLIS-KNIGHTON MEDICAL CENTER NPI 1639106065


NPI Information

NPI: 1639106065
Provider Name: ATOSSA STANLEY MD AND WILLIS-KNIGHTON MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2551 GREENWOOD RD
SUITE 310
SHREVEPORT, LA
ZIP 71103
Phone: (318) 212-8780
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ATOSSA STANLEY MD AND WILLIS-KNIGHTON MEDICAL CENTER is a family medicine in Shreveport, LA. The provider is 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. ATOSSA STANLEY MD AND WILLIS-KNIGHTON MEDICAL CENTER NPI is 1639106065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2551 GREENWOOD RD
SUITE 310
SHREVEPORT, LA
ZIP 71103-981
Phone: (318) 212-8780
Fax: (318) 212-4153

The provider's authorized official is Greg J Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-8780.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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