Individual
TRAVIS MCCONKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FT STEWART, GA 31314-3710
(912) 435-6666
Mailing address
187 MAGNOLIA RD, MIDWAY, GA 31320-3710
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3029914
TX
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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