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1528724812
JOHN WILL BACON
STATESBORO, GA
NPI
1528724812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN245533)
Enumeration Date
2021-11-11
Last Update Date
2022-02-10
Business Address
JOHN WILL BACON NP
106 BRIARWOOD RD
STATESBORO, GA 30458-2459
Phone number: 912-871-5000
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Mailing Address
JOHN WILL BACON NP
3400C OLD MILTON PKWY STE 270
ALPHARETTA, GA 30005-4438
Phone number: 912-871-5044
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