IndividualActive
Travis Blalock, M.D.
NPI 1710195003 · MOHS-Micrographic Surgery Physician · Oklahoma City, OK
Provider details
- NPI number
- 1710195003
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 73100 (GA)
Mailing address
1525 Clifton Rd Ne Ste 112a
Atlanta, GA 30322-4200
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.