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1104212869
BENJAMIN BAKER
NEWNAN, GA
NPI
1104212869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN202254)
Enumeration Date
2015-04-09
Last Update Date
2021-06-23
Business Address
BENJAMIN BAKER
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265-8001
Phone number: 770-400-6000
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Mailing Address
BENJAMIN BAKER
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265-8001
Phone number: 770-400-6000
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