Individual
MR. TRAVIS C KONZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901
(706) 722-9011
Mailing address
2490 RIVERSIDE DR, STE B, MACON, GA 31204-1787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN199709
GA
363LG0600X
Gerontology Nurse Practitioner
RN199709
GA
363LP2300X
Primary Care Nurse Practitioner
RN199709
GA
364SA2100X
Acute Care Clinical Nurse Specialist
RN199709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN199709
GA LICENSE
GA
Enumeration date
02/16/2015
Last updated
08/28/2018
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