Individual
DR. JAQWIANA SAMIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 PHYSICIANS DR, GREER, SC 29650-2445
(864) 797-9100
(864) 241-9239
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP1-0026587
TX
208000000X
Pediatrics Physician
Primary
MD87212
SC
208000000X
Pediatrics Physician
N4275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3851526791
MYUTMB 3851526791-COMMERCIAL NUMBER
—
01
—
MD87212
MEDICAL LICENSE
SC
01
—
N4275
MEDICAL LICENSE
TX
Enumeration date
06/14/2007
Last updated
03/29/2022
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