Dole P Baker MD PA
Contractor in Roanoke Rapids, NC. Organization (NPI-2).
NPI number1184780025
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184780025
- Entity type
- Organization (NPI-2)
- Legal business name
- Dole P Baker MD PA
- Organization subpart
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | NA | – | Yes |
Practice location
287 Premier BlvdSuite 310
Roanoke Rapids, NC 27870-5076
Phone 252-537-4456 · Fax 252-537-6168
Mailing address
411 Walnut St#1011
Green Cove Springs, FL 32043-3443
Phone 252-537-4456 · Fax 252-537-6168
Authorized official
Dole Parker Baker
President
2525862406
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