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Individual

MR. TRAVIS JERARD BAISDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
3905 DUE WEST RD NW, MARIETTA, GA 30064-1019
(866) 389-2727
(866) 389-2727
Mailing address
3905 DUE WEST RD NW, MARIETTA, GA 30064-1019
(866) 389-2727

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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