Dr JOHNATHAN C BAINES is a male medical professional, specializing in Family Medicine. He graduated in 2007 from Louisiana State University School Of Medicine In Shreveport.
GREEN CLINIC LLC
3030 HWY 80 W
GREEN CLINIC CALHOUN
CALHOUN
LA
712257906
Tel: 3186442940
| Npi | 1679769889 |
| Pac Id | 5193856755 |
| Professional Enrollment Id | I20100625000112 |
| Last Name | BAINES |
| First Name | JOHNATHAN |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | GREEN CLINIC LLC |
| Group Practice Pac Id | 4789668831 |
| Number Of Group Practice Members | 72 |
| Line 1 Street Address | 3030 HWY 80 W |
| Line 2 Street Address | GREEN CLINIC CALHOUN |
| Marker Of Address Line 2 Suppression | |
| City | CALHOUN |
| State | LA |
| Zip Code | 712257906 |
| Phone Number | 3186442940 |
| Hospital Affiliation Ccn 1 | 191317 |
| Hospital Affiliation Lbn 1 | JACKSON PARISH HOSPITAL |
| Hospital Affiliation Ccn 2 | 190125 |
| Hospital Affiliation Lbn 2 | ST FRANCIS MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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