Individual
KATHERINE AMELIA BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
374 DUBOSE AVE, ATHENS, GA 30601-1917
(706) 338-5668
Mailing address
374 DUBOSE AVE, ATHENS, GA 30601-1917
(706) 338-5668
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
RN283636
GA
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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