Vicki S Cobb MD & Willis-Knighton Medical Center
Organization Active NPI Family Medicine Physician · Benton, LA
NPI 1962448977 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962448977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- VICKI S COBB MD & WILLIS-KNIGHTON MEDICAL CENTER
- Practice address
- 4707 Palmetto Rd
Benton, LA 71006-9712 - Phone
- (318) 965-9644
- Fax
- (318) 965-9640
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Greg J. Gavin
- Title
- Network Administrator
- Phone
- (318) 965-9644
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
4707 Palmetto Rd
Benton, LA 71006-9712
Mailing address
4707 Palmetto Rd
Benton, LA 71006-9712
Phone (318) 965-9644
Other providers in Benton, LA
- Anne Sinclair
- Slainte Family Clinic LLC
- Sr Benton LLC
- Ashley Parker Thompson-Gardner
- Jere Welch Thompson
- Vista Vision LLC
- Walgreen Co
- Willow Creek Counseling LLC
- Kimberly Renae Wilson
- WK Palmetto Family Practice
All providers in Benton, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.