Individual
CALEVIN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 WHEELER RD STE 405, AUGUSTA, GA 30909-1888
(706) 267-3184
Mailing address
3540 WHEELER RD STE 405, AUGUSTA, GA 30909-1888
(706) 267-3184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010331
GA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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