Byron Denartus Bacon
Byron Denartus Bacon is a Case Manager/Care Coordinator in Charlotte, North Carolina. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1016 Euclid AveCharlotte, NC 28203-4520
Phone: (704) 807-5699
Fax: (704) 631-4574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1962905745 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 17, 2018 |
| Last updated in NPPES | March 17, 2018 |
| Mailing address | 9611 Brookdale Dr Ste 100-122, Charlotte, NC 28215-8719 |
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