Individual
ANTHONY BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2702 JACKSBORO PIKE, JACKSBORO, TN 37757-4850
(423) 567-4722
Mailing address
PO BOX 787, JACKSBORO, TN 37757-0787
(423) 201-9937
(423) 567-4722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3311
TN
Other
Enumeration date
06/26/2017
Last updated
09/27/2020
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