WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD is a pediatrics in Shreveport, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WILLIS-KNIGHTON MEDICAL CENTER & JOHNSTON JOHNNY MD NPI is 1700812187. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2518 BERT KOUNS LOOP
SHREVEPORT, LA
ZIP 71118-112
Phone: (318) 212-5437
Fax: (318) 212-5825
The provider's authorized official is Greg J. Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-5437.
The CLIA number assigned to this NPI record is 19D1073569 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/22/2020.