R. Wayne Baker OD

NPI 1669583563 - Optometrist - 152W00000X

NPI Details
NPI 1669583563
Gender Male
Enumeration Date 08/31/2006
Last Updated 12/30/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1455A OLD MCDONOUGH RD.SE
CONYERS GA, 30094-5979, US
Phone (770) 922-4900
Fax (770) 922-1563
Business Location
1455 OLD MCDONOUGH HWY SE STE A
CONYERS GA, 30094-5979, US
Phone (770) 922-4900
Fax (770) 922-1563
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 000746T
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According to our database, R. Wayne Baker OD NPI is 1669583563, taxonomy code is 152W00000X and license number is 000746T, license state is located at Georgia. R. Wayne Baker OD physically located at 1455a Old Mcdonough Rd.se, Conyers GA, 30094-5979. NPI Number R. Wayne Baker OD has the Individual type.

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1669583563 NPI number is provided on an as is basis without warranty of any kind. 1669583563 is maintained by the National Plan & Provider Enumeration System. The contents of R. Wayne Baker OD are for informational purposes only.