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1366506388
JONATHAN P BACON
BEAUFORT, SC
NPI
1366506388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WA MD00021515)
Enumeration Date
2006-12-21
Last Update Date
2018-03-26
Business Address
JONATHAN P BACON M.D.
78 DOLPHIN POINT DR
BEAUFORT, SC 29907-1715
Phone number: 253-722-4909
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Mailing Address
JONATHAN P BACON M.D.
78 DOLPHIN POINT DR
BEAUFORT, SC 29907-1715
Phone number: 253-722-4909
Copy
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BEAUFORT ORTHOPAEDIC SPORTS AND SPINE CENTER LLC