SearchTennesseeEmergency Medicine Physician

Michael Bacon, MD

NPI 1780628891 · on the registry since 2006

Practice

Address
130 West Ravine Road
Kingsport, TN 37662
Phone
(423) 224-4000
Fax
(423) 224-5120
Organisation at this address
Walgreen Co
Id Micro Pllc
Wps Providers Inc
Kingsport Consultants
Wellmont Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
196

Registry record

Primary taxonomy
Emergency Medicine Physician
207P00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-26

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 Tennessee