Individual
DR. JOHN W BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-3181
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-3181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19838
NC
2085U0001X
Diagnostic Ultrasound Physician
19838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7912724
—
NC
Enumeration date
03/01/2007
Last updated
12/06/2007
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