Baker, Derek Ladon

Baker, Derek Ladon is an individual health care provider with primary practice located at 61 Whitcher St Ne Ste 3110 , Marietta GA 30060. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Baker, Derek Ladon can be contacted via phone (770) 422-2326.

Contact Information

Primary practice address
61 Whitcher St Ne Ste 3110 Marietta GA 30060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 006567 Georgia

Profile Details

NPI number 1427300193
LBN Legal business name Baker, Derek Ladon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2012
Last updated Nov 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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