SearchGeorgia164W00000X

Judy Bacon, LPN

NPI 1639517311 · on the registry since 2013 · sole proprietor

Practice

Address
11 Robin Hood Rd
Statesboro, GA 30458
Phone
(912) 678-1131
Fax
(912) 871-3987

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia