MICHAEL L BACON

KINGSPORT, TN
NPI1780628891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TN  23688)
Enumeration Date2006-06-16
Last Update Date2011-09-26
Business Address
-- MICHAEL L BACON MD
130 WEST RAVINE ROAD
KINGSPORT, TN 37662
Phone number: 423-224-4000
Mailing Address
-- MICHAEL L BACON MD
PO BOX 11724
KNOXVILLE, TN 37939-1724
Phone number: 865-766-8800
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