Individual
DIEDRA MICHELLE JOSEPH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
Mailing address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97544
GA
Other
Enumeration date
06/04/2020
Last updated
11/25/2025
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