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Individual

DR. ELVIRA JANE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7659 GARNERS FERRY RD, COLUMBIA, SC 29209-3857
(803) 783-2661
(803) 776-8882
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14418
SC
207Q00000X
Family Medicine Physician
14418
SC
207R00000X
Internal Medicine Physician
Primary
14418
SC

Other

Enumeration date
05/10/2011
Last updated
06/30/2012
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