Individual
BRIAN KEITH BAKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1500
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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