Individual
PATTY A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDMS CCM QRP
Contact information
Practice address
4611 HARD SCRABBLE RD STE 109-191, COLUMBIA, SC 29229-8584
(803) 999-6570
Mailing address
PO BOX 290428, COLUMBIA, SC 29229-0008
(803) 451-1479
(803) 403-9965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
00080750
WV
Other
Enumeration date
01/18/2010
Last updated
05/08/2018
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