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Individual
MR. TRAVIS JERARD BAISDEN
Active
Individual
MR. TRAVIS JERARD BAISDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008196
VA
363A00000X
Physician Assistant
Primary
12525
GA
Other
Enumeration date
01/20/2008
Last updated
06/23/2025
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