Organization
CHARLES E BAKER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWIN BAKER JR. M.D. (OWNER)
(828) 737-7711
Entity
Organization
Contact information
Practice address
436 HOSPITAL DRIVE, SUITE 230, LINVILLE, NC 28646-0767
(828) 737-7711
(828) 737-7713
Mailing address
PO BOX 130, CROSSNORE, NC 28616-0130
(828) 737-7711
(828) 737-7713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18600
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912697
—
NC
Enumeration date
01/16/2008
Last updated
01/16/2008
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