Dole P Baker MD PA

Organization Active NPI Contractor · Roanoke Rapids, NC

NPI 1184780025 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1184780025
Entity type
Organization (NPI type 2)
Primary specialty
Contractor 171W00000X
License
NA
Legal business name
DOLE P BAKER MD PA
Practice address
287 Premier Blvd
Suite 310
Roanoke Rapids, NC 27870-5076
Phone
(252) 537-4456
Fax
(252) 537-6168
NPI assigned
Dec 28, 2006
Organization subpart
No

Authorized official

Name
Dr. Dole Parker Baker Sr., MD
Title
President
Phone
(252) 586-2406

National Provider Directory

Locations

287 Premier Blvd
Ste 310
Roanoke Rapids, NC 27870
Phone (252) 537-4456

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193400000X SINGLE SPECIALTY GROUP
171W00000X NA Yes

Addresses

Primary practice location

287 Premier Blvd
Suite 310
Roanoke Rapids, NC 27870-5076

Mailing address

411 Walnut St
#1011
Green Cove Springs, FL 32043-3443
Phone (252) 537-4456

Other providers in Roanoke Rapids, NC

All providers in Roanoke Rapids, NC · Contractor in North Carolina

Sources for this page

Verify at the official NPI Registry.