George J Bacon
Individual provider Active NPI Case Manager/Care Coordinator · Covington, TN
NPI 1255600524 · NPPES record last updated Dec 15, 2011
Key facts
- NPI
- 1255600524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1997 Highway 51 S
Covington, TN 38019-3630 - Phone
- (901) 476-8967
- NPI assigned
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1997 Highway 51 S
Covington, TN 38019-3630
Mailing address
1997 Highway 51 S
Covington, TN 38019-3630
Phone (901) 476-8967
Other providers in Covington, TN
- Desarae Jean Anderson
- Rebecca G Archer
- Armour Family Medicine, PLLC
- Karen Ann Armour
- Alexander Rougelot Arnold
- Jim George Baddour III
- Sonya M Bailey
- Allison E Baker
- Emily Ballard
- Christi S Bane
All providers in Covington, TN · Case Manager/Care Coordinator in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.