Provider Demographics
NPI:1407829450
Name:BAYLOR, DEBRA M (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:BAYLOR
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:268 BARFIELD CRESCENT RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-2626
Mailing Address - Country:US
Mailing Address - Phone:615-890-4495
Mailing Address - Fax:615-890-1550
Practice Address - Street 1:268 BARFIELD CRESCENT RD
Practice Address - Street 2:SUITE F
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-2626
Practice Address - Country:US
Practice Address - Phone:615-890-4495
Practice Address - Fax:615-890-1550
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV7890207R00000X
TN42110207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019851Medicaid
TN4242013OtherBCBS
TN103I117547Medicare PIN
TN4242013OtherBCBS
NV002019851Medicaid