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Individual

MS. TAMARA S BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
166 MAIN ST, WHITMIRE, SC 29178-1318
(803) 805-0153
Mailing address
212 AMBERWOOD CIR, IRMO, SC 29063-7951
(803) 917-1722

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21195
SC

Other

Enumeration date
09/19/2017
Last updated
05/31/2022
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