Individual
BENJAMIN EUGENE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5211
Mailing address
5885 AIRLINE RD UNIT 1017, ARLINGTON, TN 38002-5123
(901) 317-7427
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47508
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527406
—
TN
Enumeration date
04/30/2009
Last updated
09/23/2016
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