Travis, Shacora

Travis, Shacora is an sole proprietor health care provider with primary practice located at 1200 Carney Road , Quitman GA 31643. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Travis, Shacora can be contacted via phone (229) 305-0802.

Contact Information

Primary practice address
1200 Carney Road Quitman GA 31643
Phone: (229) 305-0802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1245774025
LBN Legal business name Travis, Shacora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2016
Last updated Dec 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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