Organization
JOHN R TRAVAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBERT TRAVAN DC (PRESIDENT)
(864) 855-6767
Entity
Organization
Contact information
Practice address
1824 E MAIN ST, STE G, EASLEY, SC 29640
(864) 855-6767
(864) 855-6767
Mailing address
1824 E MAIN ST, STE G, EASLEY, SC 29640
(864) 855-6767
(864) 855-6767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC1048
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1048
—
SC
Enumeration date
07/26/2006
Last updated
11/08/2007
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