DEREK LADON BAKER

MARIETTA, GA
NPI1427300193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  006567)
Enumeration Date2012-10-05
Last Update Date2019-11-06
Business Address
Mr. DEREK LADON BAKER PA-C
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Phone number: 770-422-2326
Mailing Address
Mr. DEREK LADON BAKER PA-C
805 SANDY PLAINS ROAD MEDICAL STAFF SERVICES
MARIETTA, GA 30066-6340
Phone number: