Individual
DR. TRAVAN K JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5661 BUNKY WAY, DUNWOODY, GA 30338-3338
(770) 652-7341
(770) 396-9860
Mailing address
5661 BUNKY WAY, DUNWOODY, GA 30338-3338
(770) 652-7341
(770) 396-9860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
045506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000794945C
—
GA
05
—
000794945D
—
GA
05
—
000794945E
—
GA
05
—
000794945F
—
GA
Enumeration date
08/19/2006
Last updated
11/02/2012
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