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Contact Information

JUSTIN T BAKER, MD
1227 N STATE ST STE 101
JACKSON, MS39202-2002
 Phone: 601-355-2485
 Fax: 601-353-1463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JUSTIN T BAKER · (Male)

NPI # 1639119589
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 12/02/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 17499
  • TN License # MD40878
  • MS Medicaid 02108317
Hospital affiliation(s)
  • CROSSGATES RIVER OAKS HOSPITAL - (Acute Care)
    350 CROSSGATES BLVD
    BRANDON, MS 39042
  • KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN - (Acute Care)
    P O BOX 948/427 HIGHWAY 51 NORTH
    BROOKHAVEN, MS 39601
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
  • SOUTHWEST MS REGIONAL MEDICAL CENTER - (Acute Care)
    215 MARION AV BOX 1307
    MCCOMB, MS 39649
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
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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