Individual
DR. MATTHEW BRYAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 TWO ISLAND CT., #203, MOUNT PLEASANT, SC 29466-7406
(843) 971-2860
(303) 278-4841
Mailing address
1205 TWO ISLAND CT., #203, MOUNT PLEASANT, SC 29466-7406
(843) 971-2860
(303) 278-4841
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
43027
CO
208200000X
Plastic Surgery Physician
Primary
MD87844
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803906
MEDICARE GROUP PIN
CO
05
—
83381872
—
CO
Enumeration date
08/01/2006
Last updated
05/22/2023
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