MR. Travis Jerard Baisden, PHYSICIAN ASSISTANT

NPI #1316123359 in Marietta, Georgia

Provider Information

NPI Number: 1316123359
Entity Type: Individual
Name: MR. Travis Jerard Baisden, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Jan 20, 2008
Last Updated: Jun 23, 2025

Practice Location

Address: 3905 DUE WEST RD NW
City: Marietta
State: Georgia
ZIP Code: 30064-1019
Phone: (866) 389-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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