Individual
DR. CHARLES T BAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1200
Mailing address
108 WITT CT, CLINTON, TN 37716-6776
(865) 291-7800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57069
KY
207P00000X
Emergency Medicine Physician
MD40661
TN
207R00000X
Internal Medicine Physician
Primary
57069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3820722
—
TN
Enumeration date
07/24/2006
Last updated
04/15/2025
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