Johnathan C Baines MD

NPI 1679769889 - Family Medicine - 207Q00000X

NPI Details
NPI 1679769889
Gender Male
Enumeration Date 09/20/2007
Last Updated 06/03/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
1200 S FARMERVILLE ST
RUSTON LA, 71270-5941, US
Phone (318) 255-3690
Fax (318) 251-6257
Business Location
1200 S FARMERVILLE ST
RUSTON LA, 71270-5941, US
Phone (318) 255-3690
Fax (318) 251-6257
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number MD.203777
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According to our database, Dr. Johnathan C Baines MD NPI is 1679769889, taxonomy code is 207Q00000X and license number is MD.203777, license state is located at Louisiana. Johnathan C Baines MD physically located at 1200 S Farmerville St, Ruston LA, 71270-5941. NPI Number Johnathan C Baines MD has the Individual type.

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1679769889 NPI number is provided on an as is basis without warranty of any kind. 1679769889 is maintained by the National Plan & Provider Enumeration System. The contents of Johnathan C Baines MD are for informational purposes only.