Individual
DR. TRAVIS PARKE SCHRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
OTOLARYNGOLOGY HEAD AND NECK SURGERY, 135 RUTLEDGE AVE MSC 550, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
OTOLARYNGOLOGY HEAD AND NECK SURGERY, 135 RUTLEDGE AVE MSC 550, CHARLESTON, SC 29425-0001
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24912
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34912
SOUTH CAROLINA MEDICAL LICENSURE BOARD
SC
Enumeration date
06/21/2012
Last updated
06/21/2012
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