Doctor Name: | DR. EVERLYN L. HALL-BAKER |
NPI Number: | 1174574149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 33372 |
Business Practice Address: | 10545 Blair Rd Suite 1200 Mint Hill, NC - 282272800 |
Business Phone Number: | 7048639600 |
Business Fax Number: | 7048639601 |
Mailing Address: | 5023 Weddington Matthews Rd, WEDDINGTON |
State: | NC |
Postal Code: | 281049413 |
Phone Number: | 7047240909 |
Fax Number: | 7048460538 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | 33372 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |