Basic Information
Provider Information
NPI: 1922426709
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAKER
FirstName: SARAH
MiddleName: MCCARY
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MCCARY
OtherFirstName: SARAH
OtherMiddleName: ELIZABETH
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 1949 GUNBARREL ROAD
Address2: SUITE 230
City: CHATTANOOGA
State: TN
PostalCode: 37421
CountryCode: US
TelephoneNumber: 4234954345
FaxNumber: 4234954934
Practice Location
Address1: 605 GLENWOOD DRIVE, SUITE 300
Address2: CHATTANOOGA INTERNAL MEDICINE GROUP
City: CHATTANOOGA
State: TN
PostalCode: 37404
CountryCode: US
TelephoneNumber: 4234952690
FaxNumber: 4234952698
Other Information
ProviderEnumerationDate: 03/31/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X55667TNY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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