Individual
TERESA J BAYSDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
29810 AL HIGHWAY 71, BRYANT, AL 35958-5240
(256) 597-4114
(256) 597-4115
Mailing address
309 TAYLOR ST, SCOTTSBORO, AL 35768-2421
(256) 259-5313
(423) 495-4970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
057348
GA
207Q00000X
Family Medicine Physician
Primary
1432
AL
207Q00000X
Family Medicine Physician
1949
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000211956A
—
GA
01
—
0105
JOHN DEERE HEALTH PLAN
GA
05
—
1507508
—
TN
05
—
163444
—
AL
01
—
4125415
BLUE CROSS BLUE SHIELD TN
TN
01
—
51152886
BC/BS OF ALABAMA
AL
01
—
7218773
AETNA
—
01
—
913605
BLUE CROSS BLUE SHIELD GA
GA
Enumeration date
04/17/2006
Last updated
12/04/2020
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