Individual
CAROL DEAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH, CNS
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7600
(478) 803-8596
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7631
(478) 751-4530
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN057106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN057106
PMHCNS
GA
Enumeration date
12/06/2013
Last updated
08/27/2018
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