DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHACORA TRAVIS

Active Sole Proprietor

Contractor · QUITMAN, GA

Registration Details

NPI Number
1245774025
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2016 (9.3968440072055 yrs)
Last Updated
Dec 13, 2016
Sole Proprietor
Yes

Practice Information

Address
1200 CARNEY ROAD
QUITMAN, GA, 31643
Browse GA providers · Browse ZIP 31643
Phone
2293050802
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in QUITMAN, GA

Name Credential NPI
MISS DONDRAIE LALETA SEAY BACHELOR 1215094966
BRIDGETTE WRICE MA 1215485263
MELISSA JENKINS 1083163232
CHARNISSA BROWN 1477091544
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.