Tameka Blanette Bacon

NPI 1013126770 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1013126770
Gender Female
Enumeration Date 05/21/2007
Last Updated 03/03/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
7327 VIGO DR
LITHONIA GA, 30058-5966, US
Phone (404) 808-2323
Fax
Business Location
7327 VIGO DR
LITHONIA GA, 30058-5966, US
Phone (404) 808-2323
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State
License Number
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According to our database, Miss Tameka Blanette Bacon NPI is 1013126770, taxonomy code is 235Z00000X Tameka Blanette Bacon physically located at 7327 Vigo Dr, Lithonia GA, 30058-5966. NPI Number Tameka Blanette Bacon has the Individual type.

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1013126770 NPI number is provided on an as is basis without warranty of any kind. 1013126770 is maintained by the National Plan & Provider Enumeration System. The contents of Tameka Blanette Bacon are for informational purposes only.