Shacora Travis
Contractor · Quitman, GA
NPI number
1245774025
Practice location
1200 Carney RoadQuitman, GA 31643
- Phone
- (229) 305-0802
NPI record
- NPI
- 1245774025
- Entity type
- Individual (Type 1)
- Enumeration date
- December 13, 2016
- Last updated
- December 13, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Shacora Travis
Shacora Travis is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 1200 Carney Road, Quitman, GA 31643. The NPI number 1245774025 was assigned on December 13, 2016 and the record was last updated on December 13, 2016.
Frequently asked questions
What is the NPI number of Shacora Travis?
The NPI number is 1245774025.
What is the phone number of Shacora Travis?
The phone number listed for the practice location is (229) 305-0802.
Where is Shacora Travis located?
1200 Carney Road, Quitman, GA 31643.
What is the taxonomy code for Shacora Travis?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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