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Search › Georgia › 101YP2500X

Jeffrey Baker, PH.D, MAC,HS-BCP

NPI 1699913020 · on the registry since 2009 · sole proprietor

Practice

Address
8014 Cumming Hwy
Suite 403-302
Canton, GA 30115
Phone
(404) 806-0434
Fax
(770) 720-2335
Organisation at this address
Dillard Academy
Dillard Academy
Dirk Russell D.M.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
102L00000X
246Y00000X
101YA0400X
1041C0700X
1041C0700X
101YM0800X
101YM0800X
171M00000X
170300000X
Licence states on file
FL, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia