Individual
CAROLYN H BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 27 SOUTH, P.O. BOX 98, LUMPKIN, GA 31815
(229) 838-4835
Mailing address
64 CEDAR ST, CUTHBERT, GA 39840-5305
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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