Individual
RONNY TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 MOUNT BETHEL RD, GREENEVILLE, TN 37745-6376
(423) 639-7689
Mailing address
624 MOUNT BETHEL RD, GREENEVILLE, TN 37745-6376
(423) 639-7689
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
0000005221
TN
Other
Enumeration date
11/22/2009
Last updated
11/22/2009
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