Individual
TRAVIS BENJAMIN EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
633 BROOKDALE DR STE 300, STATESVILLE, NC 28677-3471
(704) 873-3250
Mailing address
633 BROOKDALE DR STE 300, STATESVILLE, NC 28677-3471
(704) 873-3250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2023-01542
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
08/07/2023
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