Individual
DERRALYN M HARRIS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1315 DELAUNEY AVE, SUITE201, COLUMBUS, GA 31901-2367
(706) 322-9599
(706) 322-8332
Mailing address
1315 DELAUNAY AVENUE, SUITE 201, COLUMBUS, GA 31901-2204
(706) 322-9599
(706) 322-8332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00026689
AL
207Q00000X
Family Medicine Physician
Primary
052739
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311838518A
—
GA
05
—
311838518B
—
GA
05
—
311838518C
—
GA
05
—
632200004
—
AL
Enumeration date
06/14/2006
Last updated
01/30/2012
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