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Contact Information

CLARK D BAKER III, MD
2805 DR JOHN HAYNES DR
PELL CITY, AL35125-1448
 Phone: 205-814-2104
 Fax: 205-814-2145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLARK D BAKER III · (Male)

NPI Number 1326034836
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2005
Last updated 11/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 21072
  • AL Medicaid 051522553
  • AL Other 051522553 BCBS
  • AL Other 051540582 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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