Individual
KATHERINE LOUISE BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 MERCER UNIVERSITY DR, ATLANTA, GA 30341-4115
(678) 547-6778
(678) 547-6202
Mailing address
568 SAINT CATHERINE CIR, RICHMOND HILL, GA 31324-6520
(912) 312-0294
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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