George Bacon's National Provider Identifier (NPI) Details
George Bacon, LCMHCS, LCAS
NPI: 1609599711
Enumeration Date: 2022-09-22
Last updated: 2022-09-23
Sole Proprietor: YES
Status: active
Postal Address: 2201 SEAGRAVE DR, WINTERVILLE, NC
Phone: 252-341-2761
Primary Practice Address: 2201 SEAGRAVE DR, WINTERVILLE, NC
Practice's phone: 252-341-2761