Individual
IVANA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8735 DUNWOODY PL STE R, ATLANTA, GA 30350-2995
(470) 825-1966
Mailing address
8735 DUNWOODY PL STE R, ATLANTA, GA 30350-2995
(470) 825-1966
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
GA
202K00000X
Phlebology Physician
Primary
343900000X
GA
372600000X
Adult Companion
—
GA
3747P1801X
Personal Care Attendant
—
GA
374U00000X
Home Health Aide
—
GA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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