Individual
RYAN M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
404 N PINE ST, SUMMERVILLE, SC 29483-6557
(617) 990-4514
Mailing address
400 N PINE ST, SUMMERVILLE, SC 29483-6557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4633
SC
Other
Enumeration date
01/27/2021
Last updated
03/04/2021
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