Organization
BAKER SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM PHILLIP (PATIENT ACC MGR)
(770) 985-4257
Entity
Organization
Contact information
Practice address
344 OAKTOWN PL, LAWRENCEVILLE, GA 30044-3864
(770) 985-4257
(770) 985-4258
Mailing address
6127 GOODWIN DR, COLUMBUS, GA 31909
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
95152
GA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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