Individual
TRAVIS MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2432 HUNTERS TRL, MYRTLE BEACH, SC 29588-8444
(423) 736-0357
Mailing address
2432 HUNTERS TRL, MYRTLE BEACH, SC 29588-8444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19289
SC
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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