MISS Tameka Blanette Bacon

NPI #1013126770 in Lithonia, Georgia

Provider Information

NPI Number
1013126770
Entity Type
Individual
Name
MISS Tameka Blanette Bacon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 21, 2007
Last Updated
Mar 3, 2016

Practice Location

Address
7327 VIGO DR
State
Georgia
ZIP Code
30058-5966
Phone
(404) 808-2323

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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