Individual
DYLAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 VETERANS PKWY S, MOULTRIE, GA 31788-9400
(229) 890-3553
Mailing address
19 MCDONALD CT SE, MOULTRIE, GA 31788
(843) 568-4613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003357
GA
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
About Stedi
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