Organization
BAKER SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN C BAKER CST/CSFA (SURGICAL ASSISTANT)
(706) 593-4299
Entity
Organization
Contact information
Practice address
6127 GOODWIN DR, COLUMBUS, GA 31909-4338
(706) 593-4299
Mailing address
6127 GOODWIN DR, COLUMBUS, GA 31909-4338
(706) 593-4299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
95152
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902156995
MEDICAL
—
Enumeration date
06/18/2017
Last updated
06/18/2017
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