# TRAVIS SHELTON ANSLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942424122
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 1099 | SC | Yes |
| 207L00000X | Anesthesiology Physician | 2009-01131 | NC | — |
| 207L00000X | Anesthesiology Physician | TMP 001009 | GA | — |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 09/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010990 | — | SC |
| 05 | — | 1942424122 | — | NC |
| 01 | — | P00680393 | RAILROAD-MEDICARE | NC |
| 01 | — | P00680393 | RAILROAD-MEDICARE | SC |