Individual
DR. TRAVIS WORTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2418 BEMISS ROAD, VALDOSTA, GA 31602
(229) 219-0883
Mailing address
4234 DEERCREST DR, VALDOSTA, GA 31602-7611
(229) 244-9579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-287-0408
TAX ID
GA
Enumeration date
10/20/2006
Last updated
07/08/2007
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