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BENJAMIN BARROGA BAILON M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1629023486
Individual Registrant: BENJAMIN BARROGA BAILON M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
116 ROSEDALE AVE THOMASVILLE, GA 31792-6655 US
Tel: 229-228-6577 Fax: 229-228-4708
Tel: 229-228-6577 Fax: 229-228-4708
Contact information for business:
40 HIGHWAY 122 CONNECTOR LAKELAND, GA 31635-5713 US
Tel: 229-563-0098 Fax: --
Tel: 229-563-0098 Fax: --
Registration Information:
NPI: 1629023486
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 027025 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00294137A | GA | 05 |
