Individual
CHARISSA FAITH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(678) 905-7053
(678) 905-7053
Mailing address
10 BOWEN CT, CARTERSVILLE, GA 30120-2494
(678) 905-7053
(678) 905-7053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN197233
GA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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