Individual
DR. BLAIRE BAISDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5430
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3676
(706) 774-5430
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
050765
GA
Other
Enumeration date
01/12/2007
Last updated
05/26/2020
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