MEDICARE: DR. SUZANNE ELAINE BAKER M.D.

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	207Q00000X	Family Medicine Physician	14827	TN

General Provider Information

NPI Number	:	1255776886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE ELAINE BAKER M.D.

Provider Business Mailing Address
First Line	:	2257 NORTH GERMANTOWN PARKWAY
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38016
Country	:	US
Telephone Number	:	901-259-1083
Fax Number	:

Provider Business Practice Location Address
First Line	:	2257 NORTH GERMANTOWN PARKWAY
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38016
Country	:	US
Telephone Number	:	901-259-1083
Fax Number	:

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

Provider Enumeration Date	:	05/09/2013
Last Update Date	:	05/09/2013

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