Individual
DR. MARJORIE POMEROY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
311 N DAWSON ST, THOMASVILLE, GA 31792-5132
(334) 695-0993
(678) 298-5640
Mailing address
1510 MILLPOND RD, THOMASVILLE, GA 31792-7407
(334) 695-0993
(678) 298-5640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010915
GA
2251G0304X
Geriatric Physical Therapist
PT010915
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003183884A
—
GA
Enumeration date
12/31/2012
Last updated
02/01/2023
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