MEDICARE: MEGAN KEEFFE 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	208600000X	Surgery Physician	26122	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023122678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN KEEFFE BAKER MD

Provider Business Mailing Address
First Line	:	PO BOX 751469
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	843-789-1620
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	3510 N HIGHWAY 17
Second Line	:	SUITE 325
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-8227
Country	:	US
Telephone Number	:	843-606-7020
Fax Number	:	843-606-7019

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	06/28/2021

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