Individual
DR. JUSTIN T BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1227 N STATE ST STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Mailing address
1227 N STATE ST STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17499
MS
207RH0003X
Hematology & Oncology Physician
MD40878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02108317
—
MS
Enumeration date
06/08/2006
Last updated
12/02/2009
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