Individual
BONNIE VIRGINIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(286) 926-1788
(828) 692-2365
Mailing address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(286) 926-1788
(828) 692-2365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023-03400
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2023-03400
NC
Other
Enumeration date
08/31/2006
Last updated
02/16/2024
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