Individual
DR. BARRY TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7700
Mailing address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R3800
AR
207RI0011X
Interventional Cardiology Physician
R3800
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114604001
—
AR
01
—
R3800
STATE LICENSE
AR
Enumeration date
06/16/2005
Last updated
06/30/2025
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