Individual
JOSHUA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1530 WINNING COLORS CT, SUWANEE, GA 30024-5440
(404) 630-8701
Mailing address
1530 WINNING COLORS CT, SUWANEE, GA 30024-5440
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001524
GA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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