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NPI Code Detail

MEDICARE: MRS. SANDRA K. BAKER MD

MEDICARE:  MRS. SANDRA K. 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
1207Q00000XFamily Medicine Physician200300275NC

Other Identifiers

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

General Provider Information

NPI Number : 1215997226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDRA K. BAKER MD
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-651-2980
Fax Number : 336-667-2047
Provider Business Practice Location Address
First Line : 1919 W PARK DR
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-3564
Country : US
Telephone Number : 336-651-2980
Fax Number : 336-667-2047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 05/19/2016

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Directions to “ MRS. SANDRA K. BAKER MD” Practice Location

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