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WILLIAM LOUIS BACON MD

>> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1427197631

Individual Registrant:
 WILLIAM LOUIS BACON MD
Gender: M
Sole Proprietor

Location and contact information for practice:
206 E ADAIR ST  VALDOSTA, GA 31601-4508 US
Tel: 229-269-4250  Fax: 229-269-4521

Contact information for business:
206 E ADAIR ST  VALDOSTA, GA 31601-4508 US
Tel: 229-269-4250  Fax: 229-269-4521

Registration Information:
NPI: 1427197631
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
GA9760

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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