Individual
DR. TRAVIS ANDREW NOVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 2ND ST, CHERAW, SC 29520-2404
(843) 921-4851
(843) 921-4854
Mailing address
316 2ND ST, CHERAW, SC 29520-2404
(843) 921-4851
(843) 921-4854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21964
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200315212
TAX IDENTIFICATION NUMBER
—
Enumeration date
04/06/2006
Last updated
10/02/2018
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