Individual
CLARK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-7404
(423) 495-2625
Mailing address
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421-7133
(423) 495-4349
(423) 495-4934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3828
TN
Other
Enumeration date
07/15/2016
Last updated
03/03/2020
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