Healthcare Provider Details

I. General information

NPI: 1508171869
Provider Name (Legal Business Name): TONYA RAYLYNN BAKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2010
Last Update Date: 03/18/2020
Certification Date: 03/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4707 PAPERMILL DR SUITE 200
KNOXVILLE TN
37909-1907
US

IV. Provider business mailing address

4707 PAPERMILL DR SUITE 200
KNOXVILLE TN
37909-1907
US

V. Phone/Fax

Practice location:
  • Phone: 865-602-7983
  • Fax: 865-602-7984
Mailing address:
  • Phone: 865-602-7983
  • Fax: 865-602-7984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number52916
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: