Individual
DR. CHRISTIAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1079 DUTCH FORK RD, IRMO, SC 29063-8725
(803) 749-8900
(803) 749-8899
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39644
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396440
—
SC
Enumeration date
06/13/2016
Last updated
07/26/2019
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