Doctor Name: | MR. DAVID BRYANT BAKER |
NPI Number: | 1235187303 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 101249 |
Business Practice Address: | 3622 N Main St Hope Mills, NC - 283481937 |
Business Phone Number: | 9104237771 |
Business Fax Number: | 9104234177 |
Mailing Address: | 3622 N Main St, HOPE MILLS |
State: | NC |
Postal Code: | 283481937 |
Phone Number: | 9104237771 |
Fax Number: | 9104234177 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 101249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |