Individual
TRAVIS BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3125 INDEPENDENCE DR STE 210, HOMEWOOD, AL 35209-4164
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1246
AL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
03/12/2026
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