Provider Demographics
NPI:1316955578
Name:BAKER, ADAM W (MD)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:W
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2120 MERCHANTS ROW STE 2
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-0806
Mailing Address - Country:US
Mailing Address - Phone:901-362-7170
Mailing Address - Fax:901-365-9712
Practice Address - Street 1:2120 MERCHANTS ROW
Practice Address - Street 2:SUITE 2
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138
Practice Address - Country:US
Practice Address - Phone:901-362-7170
Practice Address - Fax:901-365-9712
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-10-02
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Provider Licenses
StateLicense IDTaxonomies
TNMD36947207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H78595Medicare UPIN