Individual
WILLIAM TRAVIS JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
109 HEALTH WAY, ANDERSON, SC 29621-3333
(864) 224-5700
(864) 226-0680
Mailing address
109 MONTGOMERY DR, ANDERSON, SC 29621-3333
(864) 224-5700
(864) 226-0680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
TL1830
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1671PA
—
SC
01
—
P01616415
RR MEDICARE
SC
Enumeration date
10/02/2012
Last updated
04/19/2016
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