Individual
MS. JUDY ANN BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11 ROBIN HOOD RD, STATESBORO, GA 30458-1675
(912) 678-1131
(912) 871-3987
Mailing address
11 ROBIN HOOD RD, STATESBORO, GA 30458-1675
(912) 678-1131
(912) 871-3987
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN032393
GA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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