Bacon, Tameka Blanette
Bacon, Tameka Blanette is an individual health care provider with primary practice located at 7327 Vigo Dr , Lithonia GA 30058-5966. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bacon, Tameka Blanette can be contacted via phone (404) 808-2323.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Georgia |
Profile Details
| NPI number | 1013126770 |
|---|---|
| LBN Legal business name | Bacon, Tameka Blanette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Mar 3rd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013126770 | NPPES |
| Georgia | MEDICAID | 003140688B |
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