Individual
MARTY ALLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200000009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1292W
BCBSNC
NC
01
—
237446783
BCBSSC
SC
05
—
891292W
—
NC
01
—
N00009
SC MEDICAID
SC
Enumeration date
07/27/2006
Last updated
08/18/2026
Update your record
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