Individual
SHARONDA BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 CROSS CREEK DR, POOLER, GA 31322-9305
(912) 663-1047
Mailing address
103 CROSS CREEK DR, POOLER, GA 31322-9305
(912) 663-1047
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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