Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2012-01087 | NC |
N | 111NI0900X | Internist | 2012-01087 | NC |
N | 207R00000X | Internist | LP01346 | RI |
N | 111NI0900X | Internist | LP01346 | RI |
N | 207RC0000X | Internist - Cardiovascular Disease | 2012-01087 | NC |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 2012-01087 | NC |
NPI | 1285894774 |
---|---|
Provider Name | Matthew S Baker |
First Address | Chapel Hill, NC 27514-4220 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 08/09/2021 |