Healthcare Provider Details

I. General information

NPI: 1740439462
Provider Name (Legal Business Name): FRANKLIN HOBART BAKER PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 05/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 EAST MAIN STREET SUITE 200
CHATTANOOGA TN
37406
US

IV. Provider business mailing address

320 EAST MAIN STREET SUITE 200
CHATTANOOGA TN
37408
US

V. Phone/Fax

Practice location:
  • Phone: 423-643-2246
  • Fax: 423-643-2030
Mailing address:
  • Phone: 423-643-2246
  • Fax: 423-643-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50-002801
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA2633
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: