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BENJAMIN BARROGA BAILON M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1629023486

Individual Registrant:
 BENJAMIN BARROGA BAILON M.D.
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

Contact information for business:
40 HIGHWAY 122 CONNECTOR  LAKELAND, GA 31635-5713 US
Tel: 229-563-0098  Fax: --

Registration Information:
NPI: 1629023486
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA027025

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00294137AGA05




HEALTH CARE JOBS GA - Page 1



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