Individual
DARIAN TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 GOVERNMENT CENTER DR, MOCKSVILLE, NC 27028-6299
(336) 753-6750
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1907
(704) 865-4614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2799
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2023
Last updated
09/17/2024
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