Healthcare Provider Details
I. General information
NPI: 1518308501
Provider Name (Legal Business Name): J SCOTT BAKER, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2013
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
209 HOSPITAL DR SUITE 304
HIGHLANDS NC
28741-7623
US
IV. Provider business mailing address
209 HOSPITAL DR SUITE 304
HIGHLANDS NC
28741-7623
US
V. Phone/Fax
- Phone: 828-526-1700
- Fax: 828-787-2451
- Phone: 828-526-1700
- Fax: 828-787-2451
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | NC |
VIII. Authorized Official
Name:
SHERI
OBRIEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 828-526-1700