Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 065729 | GA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 37169 | SC |
NPI | 1215158928 |
---|---|
Provider Name | Arthur M. Baker III |
First Address | Savannah, GA 31404-6268 |
Second Address | Savannah, GA 31404-6200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 04/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003110197A | (05) | GA |
003110197B | (05) | GA |
003110197C | (05) | GA |
003110197D | (05) | GA |
01441252 | AMERIGROUP (01) | |
613635 | WELLCARE (01) | GA |
GA1206 | (05) | SC |
P00955088 | RAILROAD MEDICARE (01) | GA |