Johnathan Baker

Individual provider Active NPI Case Manager/Care Coordinator · Columbus, GA

NPI 1386035574 · NPPES record last updated Feb 10, 2015

Key facts

NPI
1386035574
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2100 Comer Ave
Columbus, GA 31904-8725
Phone
(706) 569-0727
Fax
(706) 569-7324
NPI assigned
Feb 10, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X GA Yes

Addresses

Primary practice location

2100 Comer Ave
Columbus, GA 31904-8725

Mailing address

2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 569-0727

Other providers in Columbus, GA

All providers in Columbus, GA · Case Manager/Care Coordinator in Georgia

Sources for this page

Verify at the official NPI Registry.