Individual
BENJAMIN BARROGA BAILON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 ROSEDALE AVE, THOMASVILLE, GA 31792-6655
(229) 228-6577
(229) 228-4708
Mailing address
40 HIGHWAY 122 CONNECTOR, LAKELAND, GA 31635-5713
(229) 563-0098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00294137A
—
GA
Enumeration date
05/23/2006
Last updated
04/05/2018
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