Individual
BRENDA G BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
(919) 350-7204
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001- 00012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467476416
—
NC
05
—
89129CF
—
NC
Enumeration date
07/26/2006
Last updated
02/12/2021
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