Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Shreveport Internal Medicine

Organization Internal Medicine Physician · NPI 1982635249

South Shreveport Internal Medicine is an Internal Medicine Physician in Shreveport, Louisiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2508 Bert Kouns Industrial Loop Ste 301
Shreveport, LA 71118-3133
Phone: (318) 212-5991
Fax: (318) 212-5018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1982635249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Gavin — Network Administrator · (318) 212-4232
NPI enumeratedJuly 5, 2006
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address2508 Bert Kouns Industrial Loop, Suite 301, Shreveport, LA 71118-3133

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