Healthcare Provider Details

I. General information

NPI: 1003183443
Provider Name (Legal Business Name): BRITTANY LD BAYS MS, ATC, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY L DARLING MS, ATC

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 06/10/2021
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK BLVD STE 300E
BRISTOL TN
37620-7497
US

IV. Provider business mailing address

20 SERENITY RIDGE TRL
BRISTOL TN
37620-4123
US

V. Phone/Fax

Practice location:
  • Phone: 423-844-6450
  • Fax: 423-844-6499
Mailing address:
  • Phone: 973-981-5698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4434
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: