Individual
CHARLOTTE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-6261
(662) 256-6181
Mailing address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-6261
(662) 256-6181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D461
MS
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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