Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 5336 | SC |
N | 207RH0003X | Hematology & Oncology | 5336 | SC |
NPI | 1215940754 |
---|---|
Provider Name | Angus Sellers Baker |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29401-1113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 02/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
053364 | (05) | SC |
D90695 | (02) | SC |
P00754323 | RAILROAD MC ID-RSFPN (01) | SC |