MEDICARE: DR. CYNTHIA CORONA BAKER DC

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	111NP0017X	Pediatric Chiropractor	4809	SC

General Provider Information

NPI Number	:	1861178493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA CORONA BAKER DC

Provider Business Mailing Address
First Line	:	8646 ASHEVILLE HWY
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29316-4606
Country	:	US
Telephone Number	:	864-804-6886
Fax Number	:	864-804-6885

Provider Business Practice Location Address
First Line	:	8646 ASHEVILLE HWY
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29316-4606
Country	:	US
Telephone Number	:	864-804-6886
Fax Number	:	864-804-6885

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

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	03/14/2025

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