Individual
DR. TRAVIS JAMES DICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 FOREST DR STE 200, COLUMBIA, SC 29204-4010
(803) 252-1953
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351028541
MI
207Q00000X
Family Medicine Physician
Primary
92216
SC
Other
Enumeration date
07/01/2018
Last updated
06/10/2024
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