Shacora Travis

NPI #1245774025 in Quitman, Georgia

Provider Information

NPI Number: 1245774025
Entity Type: Individual
Name: Shacora Travis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Dec 13, 2016
Last Updated: Dec 13, 2016

Practice Location

Address: 1200 CARNEY ROAD
City: Quitman
State: Georgia
ZIP Code: 31643
Phone: (229) 305-0802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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