Organization
EDGAR D. BAKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE REINELT (BILLING)
(828) 891-5524
Entity
Organization
Contact information
Practice address
510 FLEMING ST STE A, HENDERSONVILLE, NC 28739-4250
(828) 693-9973
Mailing address
510A FLEMING STREET, HENDERSONVILLE, NC 28739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12695
BCBS
NC
05
—
8912695
—
NC
Enumeration date
08/18/2006
Last updated
06/16/2008
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