Stuart P Bacon MD

NPI 1003816794 - Family Medicine - 207Q00000X

NPI Details
NPI 1003816794
Gender Male
Enumeration Date 07/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
7794 RHEA COUNTY HWY
SUITE 101
DAYTON TN, 37321-5981, US
Phone (423) 775-4261
Fax (423) 570-2008
Business Location
7794 RHEA COUNTY HWY
SUITE 101
DAYTON TN, 37321-5981, US
Phone (423) 775-4261
Fax (423) 570-2008
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD9006
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According to our database, Dr. Stuart P Bacon MD NPI is 1003816794, taxonomy code is 207Q00000X and license number is MD9006, license state is located at Tennessee. Stuart P Bacon MD physically located at 7794 Rhea County Hwy, Dayton TN, 37321-5981. NPI Number Stuart P Bacon MD has the Individual type.

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1003816794 NPI number is provided on an as is basis without warranty of any kind. 1003816794 is maintained by the National Plan & Provider Enumeration System. The contents of Stuart P Bacon MD are for informational purposes only.