Individual
MR. JOHNATHAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-0727
(706) 569-7324
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-0727
(706) 569-7324
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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