Whalio Doctors

NPI 1003816794

Stuart P Bacon, MD

Practitioner Family Medicine Physician Dayton, TN

Practice location

Address
7794 Rhea County Hwy Suite 101, Dayton, TN 37321-5981
Phone
(423) 775-4261
Fax
(423) 570-2008

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD9006 (TN)

Registry record

NPI
1003816794
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jul 2005
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.