Willis-Knighton Medical Center Michelle Self MD
Willis-Knighton Medical Center Michelle Self MD provides Family Medicine Physician services in Shreveport, Louisiana. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
8001 Youree Dr Ste 540Shreveport, LA 71115-2302
Phone: (318) 212-3810
Fax: (318) 212-3815
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1598794612 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Greg Gavin — Network Administrator · (318) 212-3810 |
| NPI enumerated | July 1, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 8001 Youree Dr, Suite 540, Shreveport, LA 71115-2302 |
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