Individual
BAYLEY SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 613-3334
Mailing address
111 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 427-7888
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6632
TN
Other
Enumeration date
03/04/2025
Last updated
06/18/2025
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