Individual
TRAVIS M GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E PARKWAY S, MEMPHIS, TN 38104-5519
(901) 321-3000
Mailing address
8021 HAVERSHAM WAY APT 205, MEMPHIS, TN 38119-3030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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