| Cindy Baker | |
|
110 Evans Mill Dr Suite 305 Dallas GA 30157-1622 | |
| (678) 882-2227 | |
| (770) 445-7262 |
| Full Name | Cindy Baker |
|---|---|
| Speciality | Counselor - Professional |
| Location | 110 Evans Mill Dr, Dallas, Georgia |
| Authorized Official Name and Position | Cindy Carol Baas Baker (OWNER) |
| Authorized Official Contact | 6788822227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy Baker Po Box 2089 Dallas GA 30132-0036 Ph: (678) 882-2227 | Cindy Baker 110 Evans Mill Dr Suite 305 Dallas GA 30157-1622 Ph: (678) 882-2227 |
| NPI Number | 1245530120 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245530120 | NPI | - | NPPES |
| 473130628A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 005019 (Georgia) | Primary |
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