Individual
JEFFREY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL TECHNOLOGIST
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6987
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6987
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
217739
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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