Dr CHAMP L BAKER is a male medical professional, specializing in Sports Medicine. He graduated in 2002 from Medical College Of Georgia.
HUGHSTON CLINIC PC
107 CALUMET CTR RD
LAGRANGE
GA
302416705
Tel: 7068843274
Npi | 1912128448 |
Pac Id | 1052411360 |
Professional Enrollment Id | I20080611000465 |
Last Name | BAKER |
First Name | CHAMP |
Middle Name | L |
Suffix | |
Gender | M |
Credential | |
Medical School Name | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 2002 |
Primary Specialty | SPORTS MEDICINE |
Secondary Specialty 1 | ORTHOPEDIC SURGERY |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | ORTHOPEDIC SURGERY |
Organization Legal Name | HUGHSTON CLINIC PC |
Group Practice Pac Id | 1355254780 |
Number Of Group Practice Members | 88 |
Line 1 Street Address | 107 CALUMET CTR RD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | LAGRANGE |
State | GA |
Zip Code | 302416705 |
Phone Number | 7068843274 |
Hospital Affiliation Ccn 1 | 010168 |
Hospital Affiliation Lbn 1 | JACK HUGHSTON MEMORIAL HOSPITAL |
Hospital Affiliation Ccn 2 | 110129 |
Hospital Affiliation Lbn 2 | ST FRANCIS HOSPITAL |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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