Individual
DR. BRENT A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 W BROADWAY BLVD STE 130, JEFFERSON CITY, TN 37760-2602
(865) 475-4742
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56571
TN
Other
Enumeration date
04/07/2016
Last updated
09/07/2023
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