WILLIAM LOUIS BACON

VALDOSTA, GA
NPI1427197631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: GA  9760)
Enumeration Date2007-02-05
Last Update Date2012-01-26
Business Address
-- WILLIAM LOUIS BACON MD
206 E ADAIR ST
VALDOSTA, GA 31601-4508
Phone number: 229-269-4250
Mailing Address
-- WILLIAM LOUIS BACON MD
206 E ADAIR ST
VALDOSTA, GA 31601-4508
Phone number: 229-269-4250