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Individual

JAMES WILLIAM BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10810 PARKSIDE DR, SUITE G12, KNOXVILLE, TN 37934-1979
(865) 392-9220
(865) 392-9221
Mailing address
10810 PARKSIDE DR, STE 201, KNOXVILLE, TN 37934-1983
(865) 392-9220
(865) 392-9221

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD019699
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0098199
BLUE CROSS BLUE SHIELD
TN
05
3044774
TN
Enumeration date
10/17/2006
Last updated
02/12/2019
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