Individual
CYNTHIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Mailing address
1547 PARKWAY, GREENWOOD, SC 29646-4081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50275
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
10/18/2021
Last updated
10/18/2021
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