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NPI Code Detail

MEDICARE: TAMELA BAKER

MEDICARE:   TAMELA  BAKER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1851783625
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMELA BAKER
Provider Business Mailing Address
First Line : 318 PRINCETON WALK
Second Line :
City : ADAIRSVILLE
State : GA
Zip : 30103-2653
Country : US
Telephone Number : 678-848-3481
Fax Number :
Provider Business Practice Location Address
First Line : 318 PRINCETON WALK
Second Line :
City : ADAIRSVILLE
State : GA
Zip : 30103-2653
Country : US
Telephone Number : 678-848-3481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2015
Last Update Date : 03/03/2015

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Directions to “ TAMELA BAKER ” Practice Location

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