Individual
CLIFTON A BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18539 S NC HIGHWAY 109, DENTON, NC 27239-7713
(336) 859-5001
(336) 859-1952
Mailing address
18539 S. N.C. HWY 109, DENTON, NC 27239-6807
(336) 859-5001
(336) 859-1952
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
28122
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12739
BLUE CROSS
NC
05
—
8913112
—
NC
01
—
930123535
RAILROAD MEDICARE
NC
Enumeration date
03/20/2006
Last updated
08/29/2019
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