Baker, Sally Brooks

Baker, Sally Brooks is an sole proprietor health care provider with primary practice located at 300 Singleton Ridge Rd , Conway SC 29526-9142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Baker, Sally Brooks can be contacted via phone (843) 347-8103.

Contact Information

Primary practice address
300 Singleton Ridge Rd Conway SC 29526-9142
Phone: (843) 347-8103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 59842 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 84920 South Carolina

Profile Details

NPI number 1396196754
LBN Legal business name Baker, Sally Brooks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated Apr 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396196754 NPPES
Virginia Other 207Q00000X FAMILY MEDICINE

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