Individual
CARL W BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 LAFAYETTE PL STE C, HILTON HEAD ISLAND, SC 29926-2277
(843) 715-2424
(843) 715-2945
Mailing address
15 LAFAYETTE PL STE C, HILTON HEAD ISLAND, SC 29926-2277
(843) 715-2424
(843) 715-2945
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
17421
SC
207W00000X
Ophthalmology Physician
32965
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
17421
SC
207WX0107X
Retina Specialist (Ophthalmology) Physician
32965
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044963
ANTHEM BCBS
—
01
—
180029586
RAILROAD MEDICARE
—
01
—
610706763
TRICARE
—
05
—
64329659
—
KY
05
—
7100053130
—
KY
Enumeration date
03/07/2006
Last updated
03/17/2021
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