Individual
MICHAEL P BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 TEBEAU ST, WAYCROSS, GA 31501-6935
(912) 285-5690
(912) 285-1753
Mailing address
PO BOX 173, WAYCROSS, GA 31502-0173
(912) 285-5690
(912) 285-5690
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036497
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000532034E
—
GA
Enumeration date
05/31/2005
Last updated
01/22/2013
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