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Individual

TRAVIS FITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
701 S CLOUDAS AVE, SIOUX FALLS, SD 57103-2421

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
CR001111
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
GAA-CRNA000978
GA

Other

Enumeration date
06/28/2022
Last updated
02/06/2023
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