| Mbaker Mpmd, Llc | |
|
142 Wickham Ct Pawleys Island SC 29585-6081 | |
| (773) 937-2062 | |
| Not Available |
| Full Name | Mbaker Mpmd, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 5597101048 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134431935 PECOS PAC ID: 3779705231 Enrollment ID: I20141118000683 |
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