# BAY STREET CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093381063
- **Authorized official:** LAYLA WREN MD (OWNER)
- **Authorized official phone:** (256) 546-1011

## Contact information

- **Practice address:** 403 BAY ST, GADSDEN, AL 35901-5107
- **Practice address phone:** (256) 546-1011
- **Practice address fax:** (256) 467-3294
- **Mailing address:** 403 BAY ST, GADSDEN, AL 35901-5107
- **Mailing address phone:** (256) 546-1011
- **Mailing address fax:** (256) 467-3294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2021
- **Last updated:** 06/01/2021