Reneathia Primus Baker MD

NPI 1649224668 - Pediatrics - 208000000X

NPI Details
NPI 1649224668
Gender Female
Enumeration Date 05/22/2006
Last Updated 02/21/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2400 MOUNT ZION PKWY
SOUTHWOOD MEDICAL OFFICE DEPARTMENT OF PEDIATRICS
JONESBORO GA, 30236, US
Phone (770) 603-3614
Fax
Business Location
3495 PIEDMONT ROAD NE
NINE PIEDMONT CENTER
ATLANTA GA, 30305, US
Phone (404) 949-5019
Fax (404) 364-4985
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 049250
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According to our database, Reneathia Primus Baker MD NPI is 1649224668, taxonomy code is 208000000X and license number is 049250, license state is located at Georgia. Reneathia Primus Baker MD physically located at 2400 Mount Zion Pkwy, Jonesboro GA, 30236. NPI Number Reneathia Primus Baker MD has the Individual type.

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1649224668 NPI number is provided on an as is basis without warranty of any kind. 1649224668 is maintained by the National Plan & Provider Enumeration System. The contents of Reneathia Primus Baker MD are for informational purposes only.