Individual
MRS. MALLORY CAMILLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 852-4277
Mailing address
741 PRESIDENT PL, STE 200, SMYRNA, TN 37167-6809
(615) 369-9899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55808
TN
208000000X
Pediatrics Physician
55808
TN
Other
Enumeration date
03/22/2013
Last updated
05/22/2017
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