Madison Baker, PA
NPI #1043974074 in Mount Pleasant, South Carolina
Provider Information
- NPI Number
- 1043974074
- Entity Type
- Individual
- Name
- Madison Baker, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Oct 26, 2021
- Last Updated
- Dec 13, 2022
Practice Location
- Address
- 631 JOHNNIE DODDS BLVD
- City
- Mount Pleasant
- State
- South Carolina
- ZIP Code
- 29464-3030
- Phone
- (843) 881-0815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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