Donald G Mack Sr Md And Willis-Knighton Medical Center in Shreveport - Pediatrics
Donald G Mack Sr Md And Willis-Knighton Medical Center - NPI 1801962204
Donald G Mack Sr Md And Willis-Knighton Medical Center is a Pediatrics in Shreveport, Louisiana. Donald G Mack Sr Md And Willis-Knighton Medical Center practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Donald G Mack Sr Md And Willis-Knighton Medical Center is 1801962204. The last update date is 2020-08-22.
Donald G Mack Sr Md And Willis-Knighton Medical Center's current location address is 1799 E Bert Kouns Industrial Loop, Shreveport, Louisiana. You can contact this provider via phone number 3187979000 and fax number 3187979250. The mailing address for Donald G Mack Sr Md And Willis-Knighton Medical Center is 1799 E Bert Kouns Industrial Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Donald G Mack Sr Md And Willis-Knighton Medical Center |
|---|---|
| Address | 1799 E Bert Kouns Industrial Loop, Shreveport, Louisiana |
| Phone Number | 3187979000 |
| Fax Number | 3187979250 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NETWORK AD |
|---|---|
| Authorized Official Name | Gavin J. Greg |
| Telephone Number | 3182124232 |
NPI Number Detail
| NPI Number | 1801962204 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1799 E Bert Kouns Industrial Loop |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055561 |
| Phone Number | 3187979000 |
| Fax Number | 3187979250 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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Definition: 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 |
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What is the unique identification code assigned to Donald G Mack Sr Md And Willis-Knighton Medical Center by the Centers for Medicare & Medicaid Services?
The Donald G Mack Sr Md And Willis-Knighton Medical Center has been issued the NPI (National Provider Identifier) 1801962204. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Donald G Mack Sr Md And Willis-Knighton Medical Center located?
The Donald G Mack Sr Md And Willis-Knighton Medical Center is located at 1799 E Bert Kouns Industrial Loop, Shreveport, LA 711055561.
What is Donald G Mack Sr Md And Willis-Knighton Medical Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Donald G Mack Sr Md And Willis-Knighton Medical Center's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801962204 to Donald G Mack Sr Md And Willis-Knighton Medical Center?
The Centers for Medicare & Medicaid Services assigned the 1801962204 to Donald G Mack Sr Md And Willis-Knighton Medical Center on 2006-11-28.
As of what date was the information pertaining to Donald G Mack Sr Md And Willis-Knighton Medical Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Donald G Mack Sr Md And Willis-Knighton Medical Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.