Bailon, Benjamin Barroga
Bailon, Benjamin Barroga is an sole proprietor health care provider with primary practice located at 116 Rosedale Ave , Thomasville GA 31792-6655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bailon, Benjamin Barroga can be contacted via phone (229) 228-6577.Contact Information
Primary practice address
116 Rosedale Ave
Thomasville GA 31792-6655
Phone: (229) 228-6577
Fax: (229) 228-4708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 027025 | Georgia |
Profile Details
| NPI number | 1629023486 |
|---|---|
| LBN Legal business name | Bailon, Benjamin Barroga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Apr 5th, 2018 - about 8 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 | 1629023486 | NPPES |
| Georgia | MEDICAID | 00294137A |
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