MEDICARE: KARIN W BAKER MD

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1629203047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARIN W BAKER MD

Provider Business Mailing Address
First Line	:	PO BOX 5769
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-0769
Country	:	US
Telephone Number	:	706-660-8505
Fax Number	:	706-660-1454

Provider Business Practice Location Address
First Line	:	1810 STADIUM DR
Second Line	:	SUITE 130
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-3177
Country	:	US
Telephone Number	:	706-289-5982
Fax Number	:	706-505-1524

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KARIN W BAKER
Credential	:	MD
Telephone Number	:	706-289-5982

Provider Enumeration Date	:	05/29/2009
Last Update Date	:	10/05/2015

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