Individual
JESICA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-5142
Mailing address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-5142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4227
CT
Other
Enumeration date
09/11/2018
Last updated
11/03/2023
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