Individual
DR. STACY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
735 CHERRY RD, ROCK HILL, SC 29732-3121
(803) 818-3932
(844) 729-6584
Mailing address
735 CHERRY RD, ROCK HILL, SC 29732-3121
(803) 818-3932
(844) 729-6584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012-01201
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317749
—
SC
05
—
5921383
—
NC
Enumeration date
07/09/2009
Last updated
01/30/2023
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