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Individual

JOHN BAEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1285 HEMBREE RD STE 100, ROSWELL, GA 30076-5715
(770) 442-1050
Mailing address
1945 CHATTAHOOCHEE DR, DULUTH, GA 30097-7937

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12901
GA

Other

Enumeration date
06/24/2021
Last updated
09/26/2024
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