Individual
MRS. MALLORY CAMILLE BAKER
Active
Individual
MRS. MALLORY CAMILLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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