Christi Bacon, NP
Nurse Practitioner in Macon, GA. Individual provider (NPI-1).
NPI number1609410091
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1609410091
- Entity type
- Individual (NPI-1)
- Name
- Christi Bacon
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2019
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN209689 | GA | Yes |
Practice location
1014 Forsyth St Ste 100Macon, GA 31201-2051
Phone 478-633-7600 · Fax 478-633-7354
Mailing address
1014 Forsyth St Ste 100Macon, GA 31201-2051
Phone 478-633-7600 · Fax 478-633-7354
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