Individual
RENEATHIA PRIMUS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 MOUNT ZION PKWY, SOUTHWOOD MEDICAL OFFICE DEPARTMENT OF PEDIATRICS, JONESBORO, GA 30236
(770) 603-3614
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 949-5019
(404) 364-4985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049250
GA
Other
Enumeration date
05/22/2006
Last updated
02/21/2008
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