Individual
CHRISTI BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1014 FORSYTH ST STE 100, MACON, GA 31201-2051
(478) 633-7600
(478) 633-7354
Mailing address
1014 FORSYTH ST STE 100, MACON, GA 31201-2051
(478) 633-7600
(478) 633-7354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN209689
GA
Other
Enumeration date
10/29/2019
Last updated
09/20/2023
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