Individual
DR. SCOTT WILLIAM BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3318 HEALY DR, WINSTON SALEM, NC 27103-1404
(336) 768-3530
(336) 768-1329
Mailing address
3318 HEALY DR, WINSTON SALEM, NC 27103-1404
(336) 768-3530
(336) 768-1329
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
34813
NC
207L00000X
Anesthesiology Physician
00-34813
NC
208VP0014X
Interventional Pain Medicine Physician
34813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912745
—
NC
01
—
I 0004366748
AETNA
—
01
—
P00185717
RR MEDICARE
NC
Enumeration date
05/01/2006
Last updated
08/17/2022
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