| Doctor Name: | CLIFTON A BAKER |
| NPI Number: | 1053370098 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | 18539 S Nc Highway 109 Denton, NC - 272397713 |
| Business Phone Number: | 3368595001 |
| Business Fax Number: | 3368591952 |
| Mailing Address: | 18539 S. N.c. Hwy 109, DENTON |
| State: | NC |
| Postal Code: | 272396807 |
| Phone Number: | 3368595001 |
| Fax Number: | 3368591952 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 11/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |