Mbaker Mpmd, Llc | |
142 Wickham Ct Pawleys Island SC 29585-6081 | |
(773) 937-2062 | |
Not Available |
Full Name | Mbaker Mpmd, Llc |
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Speciality | Internal Medicine |
Location | 142 Wickham Ct, Pawleys Island, South Carolina |
Authorized Official Name and Position | Mary Baker (OWNER) |
Authorized Official Contact | 7739372062 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mbaker Mpmd, Llc 142 Wickham Ct Pawleys Island SC 29585-6081 Ph: (773) 937-2062 | Mbaker Mpmd, Llc 142 Wickham Ct Pawleys Island SC 29585-6081 Ph: (773) 937-2062 |
NPI Number | 1427826437 |
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Provider Enumeration Date | 12/19/2023 |
Last Update Date | 12/19/2023 |
Medicare PECOS PAC ID | 5597101048 |
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Medicare Enrollment ID | O20240307000637 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427826437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mary S Baker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134431935 PECOS PAC ID: 3779705231 Enrollment ID: I20141118000683 |
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