TRAVIS JERARD BAISDEN

MARIETTA, GA
NPI1316123359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  12525)
Additional Taxonomies363A00000X Physician Assistant
(Licence: VA  0110008196)
Enumeration Date2008-01-20
Last Update Date2025-06-23
Business Address
Mr. TRAVIS JERARD BAISDEN PHYSICIAN ASSISTANT
3905 DUE WEST RD NW
MARIETTA, GA 30064-1019
Phone number: 866-389-2727
Mailing Address
Mr. TRAVIS JERARD BAISDEN PHYSICIAN ASSISTANT
3905 DUE WEST RD NW
MARIETTA, GA 30064-1019
Phone number: 866-389-2727