Gwendolyn Holdiness Proctor MD

NPI 1316114564 - Family Medicine - 207Q00000X

NPI Details
NPI 1316114564
Gender Female
Enumeration Date 05/15/2008
Last Updated 09/07/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1825 N 18TH ST
MONROE LA, 71201-4420, US
Phone (318) 807-3700
Fax (318) 807-0014
Business Location
STE 355
MONROE LA, 71201-7319, US
Phone (318) 807-7875
Fax (318) 812-9997
Taxonomy Code 207Q00000X
License State Louisiana
License Number 204506
Remove 1316114564 NPI Number

According to our database, Gwendolyn Holdiness Proctor MD NPI is 1316114564, taxonomy code is 207Q00000X and license number is 204506, license state is located at Louisiana. Gwendolyn Holdiness Proctor MD physically located at 1825 N 18th St, Monroe LA, 71201-4420. NPI Number Gwendolyn Holdiness Proctor MD has the Individual type.

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1316114564 NPI number is provided on an as is basis without warranty of any kind. 1316114564 is maintained by the National Plan & Provider Enumeration System. The contents of Gwendolyn Holdiness Proctor MD are for informational purposes only.