Individual
DR. JOHN KENNETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
385 W WESMARK BLVD, SUMTER, SC 29150-1987
(803) 774-8240
(888) 643-4231
Mailing address
325 BROAD ST, SUITE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 753-9312
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
33281-2015
SC
2084N0400X
Neurology Physician
Primary
33281
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
05/21/2008
Last updated
06/15/2016
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