Individual
MARY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2195 HUNTER CT, COLUMBUS, GA 31907-3780
(762) 241-7186
Mailing address
2195 HUNTER CT, COLUMBUS, GA 31907-3780
(762) 241-7186
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
CN0000065389
GA
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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