Individual
ELIZABETH KAITLYN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 BLYTHE BLVD, STE 500, CHARLOTTE, NC 28203-5866
(704) 373-1813
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
2023-02314
NC
207SG0202X
Clinical Biochemical Genetics Physician
2023-02314
NC
208000000X
Pediatrics Physician
Primary
2023-02314
NC
390200000X
Student in an Organized Health Care Education/Training Program
2023-02314
NC
Other
Enumeration date
03/24/2017
Last updated
07/17/2024
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