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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIS-KNIGHTON MEDICAL CENTER MICHELLE SELF MD

Active Organization

WILLIS-KNIGHTON MEDICAL CENTER MICHELLE SELF MD is a Family Medicine organization located in SHREVEPORT, Louisiana. NPI 1598794612 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHREVEPORT, LA

Registration Details

NPI Number
1598794612
Provider Type
Organization
NPI Issued
Jul 1, 2006 (20.126512397019 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
8001 YOUREE DR
SUITE 540
SHREVEPORT, LA, 711152302
Browse LA providers · Browse ZIP 71115
Phone
3182123810
Fax
3182123815
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.