Individual
CORINNE E BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
15 MEDICAL DR NE, CARTERSVILLE, GA 30121-8003
(770) 382-5621
Mailing address
1786 HEIGHTS CIR NW, KENNESAW, GA 30152-6716
(678) 354-7384
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001135
GA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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