Most Relevant Information
Provider Data
| NPI Number: | 1003270968 |
| Provider Name: | BRENT A BAKER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 56571 |
Most Important Dates
| Enumeration Date: | 04/07/2016 |
| Last Updated: | 09/07/2023 |
Provider Practice Location
380 W BROADWAY BLVD STE 130
JEFFERSON CITY
TN
377602602
Practice Location Phone/Fax
| Phone: | 8654754742 |
| Fax: |
Provider Mailing Location
1275 DICK LONAS RD UNIT 101
KNOXVILLE
TN
379091383
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR