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Individual

NICKOLAS SCOTT BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
UAB HOSPITAL 619 19TH STREET S, BIRMINGHAM, AL 35249-0001
(205) 975-7516
Mailing address
801 MONTCLAIR RD APT 4213, BIRMINGHAM, AL 35213-2005

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
PA.1718
AL
363A00000X
Physician Assistant
Primary
PA.1718
AL

Other

Enumeration date
02/24/2021
Last updated
06/28/2023
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