Individual
MR. SALLY A BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN9015
TN
367500000X
Certified Registered Nurse Anesthetist
RN098604
GA
367500000X
Certified Registered Nurse Anesthetist
RN47716
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3053366
BCBS
TN
05
—
3609044
—
TN
Enumeration date
02/23/2006
Last updated
07/08/2007
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