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Stuart Bacon MD NPI 1003816794

Classification
Family Medicine
Type
License No.
MD9006
License State
TN
Certified
Location

Additional Identifiers

Medical School
Yes
Graduation Year
0
Identifier
Type
State
Identifier: B03050
Type: MEDICARE UPIN (02)
State:
Identifier: 3164361
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: TN

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
7794 RHEA COUNTY HWY, DAYTON, TN, 373215981
Business Phone
423-775-4261
Mailing Address
7794 RHEA COUNTY HWY, DAYTON, TN, 373215981
Mailing Phone
423-775-4261
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