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1003816794
STUART P BACON
DAYTON, TN
NPI
1003816794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD9006)
Enumeration Date
2005-07-26
Last Update Date
2007-07-08
Business Address
DR. STUART P BACON MD
7794 RHEA COUNTY HWY SUITE 101
DAYTON, TN 37321-5981
Phone number: 423-775-4261
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Mailing Address
DR. STUART P BACON MD
7794 RHEA COUNTY HWY SUITE 101
DAYTON, TN 37321-5981
Phone number: 423-775-4261
Copy
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