Individual
TRAVIS HALLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(225) 939-1982
Mailing address
1291 FRONT AVE UNIT 404, COLUMBUS, GA 31901-5278
(225) 939-1982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
269177
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6378
NC
Other
Enumeration date
06/05/2020
Last updated
01/20/2026
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