MEDICARE: CHRISTINE MARIE BAKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2022-02170	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205861093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MARIE BAKER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 602195
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2195
Country	:	US
Telephone Number	:	919-350-0351
Fax Number	:	919-350-7687

Provider Business Practice Location Address
First Line	:	2930 FORESTVILLE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-8774
Country	:	US
Telephone Number	:	919-235-6550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	11/01/2024

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