Martin R Travis ATC

NPI 1619123767 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1619123767
Gender Male
Enumeration Date 08/08/2008
Last Updated 08/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1611 CARTERETT AVE
CHARLESTON SC, 29407-4219, US
Phone (843) 852-0373
Fax
Business Location
1611 CARTERETT AVE
CHARLESTON SC, 29407-4219, US
Phone (843) 852-0373
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State South Carolina
License Number 955
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According to our database, Martin R Travis ATC NPI is 1619123767, taxonomy code is 2255A2300X and license number is 955, license state is located at South Carolina. Martin R Travis ATC physically located at 1611 Carterett Ave, Charleston SC, 29407-4219. NPI Number Martin R Travis ATC has the Individual type.

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1619123767 NPI number is provided on an as is basis without warranty of any kind. 1619123767 is maintained by the National Plan & Provider Enumeration System. The contents of Martin R Travis ATC are for informational purposes only.