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TRAVIS BRUCE BANTA MD

MD

Diagnostic Radiology Physician

NPI: 1265964548IndividualAccepts Medicare

Specialties, Licenses & Credentials

Diagnostic Radiology PhysicianPrimary

Radiology — Diagnostic Radiology

Code: 2085R0202X

91576(GA)T-3287(MS)331083(LA)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Education

LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT

Class of 2017

Contact & Hours

Via practice · 4 locations total

Address
1364 CLIFTON RD NE
ATLANTA, GA 30322

Quick Facts

NPI
1265964548
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
4
Years in Practice
9

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