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1427197631
WILLIAM LOUIS BACON
VALDOSTA, GA
NPI
1427197631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: GA 9760)
Enumeration Date
2007-02-05
Last Update Date
2012-01-26
Business Address
-- WILLIAM LOUIS BACON MD
206 E ADAIR ST
VALDOSTA, GA 31601-4508
Phone number: 229-269-4250
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Mailing Address
-- WILLIAM LOUIS BACON MD
206 E ADAIR ST
VALDOSTA, GA 31601-4508
Phone number: 229-269-4250
Copy
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