Provider Demographics
NPI:1437914694
Name:BAKER, MEGAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 N ROBERTS RD NW APT 1211
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-3772
Mailing Address - Country:US
Mailing Address - Phone:985-778-8886
Mailing Address - Fax:985-778-8886
Practice Address - Street 1:1650 N ROBERTS RD NW APT 1211
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-3772
Practice Address - Country:US
Practice Address - Phone:985-778-8886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor