Individual
MRS. MYCAH C BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5150 N BROADWAY ST, KNOXVILLE, TN 37918-2342
(865) 549-5111
(865) 521-1370
Mailing address
5150 N BROADWAY ST, KNOXVILLE, TN 37918-2342
(865) 549-5111
(865) 521-1370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4044
TN
Other
Enumeration date
01/14/2021
Last updated
05/27/2023
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