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Individual

MRS. REBECCA SHAN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
740 FERST DRIVE NW, ATLANTA, GA 30332-0470
(404) 894-1434
(404) 894-8241
Mailing address
740 FERST DRIVE NW, ATLANTA, GA 30332-0470
(404) 894-1434
(404) 894-8241

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN123435
GA

Other

Enumeration date
08/14/2007
Last updated
08/14/2007
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