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Jonathan Green

NPI 1588306898 · on the registry since 2022

Practice

Address
1000 Chinaberry Dr Ste 903
Bossier City, LA 71111
Phone
(318) 459-6795
Fax
(318) 626-5429
Organisation at this address
Premier Ent Llc
Premier Ent Llc
Kambri S Healthcare Llc
Kambri S Healthcare Llc
Providence Primary Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2022-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana