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TERESA J BAYSDEN D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1619931581

Individual Registrant:
 TERESA J BAYSDEN D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
29810 AL HIGHWAY 71  BRYANT, AL 35958-5240 US
Tel: 256-597-4114  Fax: 256-597-4115

Contact information for business:
309 TAYLOR ST  SCOTTSBORO, AL 35768-2421 US
Tel: 256-259-5313  Fax: 423-495-4970

Registration Information:
NPI: 1619931581
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA057348
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
TN1949
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL1432

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1507508TN05
BLUE CROSS BLUE SHIELD TN4125415TN01
BC/BS OF ALABAMA51152886AL01
BLUE CROSS BLUE SHIELD GA913605GA01
000211956AGA05
163444AL05
AETNA721877301
JOHN DEERE HEALTH PLAN0105GA01




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