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Individual

DR. SEAN MICHAEL BACHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
93792
GA
207Q00000X
Family Medicine Physician
Primary
93792
GA

Other

Enumeration date
05/27/2021
Last updated
01/26/2026
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