Individual
DR. TRAVIS SHOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27960
SC
367500000X
Certified Registered Nurse Anesthetist
RN268293
GA
Other
Enumeration date
02/21/2023
Last updated
03/15/2024
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