Individual
DR. ROBERT THOMAS BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
736 JOHNSON FERRY RD STE C130, MARIETTA, GA 30068-5628
(404) 433-6574
Mailing address
2908 PAULS WAY, MARIETTA, GA 30062-1465
(770) 693-8026
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007778
GA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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