Baker, Tim W

Baker, Tim W is an individual health care provider with primary practice located at 60 Hospital Rd , Newnan GA 30263-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baker, Tim W can be contacted via phone (770) 253-2330.

Contact Information

Primary practice address
60 Hospital Rd Newnan GA 30263-1210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 026447 Georgia

Profile Details

NPI number 1790704047
LBN Legal business name Baker, Tim W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 2nd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790704047 NPPES
Georgia MEDICAID 00381598A

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