Individual
MADISON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
631 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3030
(843) 881-0815
Mailing address
401 N SENATE AVE UNIT 477, INDIANAPOLIS, IN 46204-1291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
12/13/2022
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