| Doctor Name: | DR. JEFFREY ALLEN TRAVIS |
| NPI Number: | 1174571533 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 055990 |
| Business Practice Address: | 2728 Sunset Blvd Ste 300-b West Columbia, SC - 291694840 |
| Business Phone Number: | 8039367095 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2022, WEST COLUMBIA |
| State: | SC |
| Postal Code: | 291712022 |
| Phone Number: | 8039367095 |
| Fax Number: | 7065710207 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 055990 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |