Individual
MARY E BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1905 MAIN ST, NEWBERRY, SC 29108-3519
(803) 276-0566
(803) 276-0566
Mailing address
1905 MAIN ST, NEWBERRY, SC 29108-3519
(803) 276-0566
(803) 276-0566
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
09290
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092900
—
SC
Enumeration date
08/14/2006
Last updated
08/11/2023
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