Individual
MADISON MARIE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Mailing address
1512 COUNTY ROAD 7, MYRTLE, MS 38650-8540
(662) 216-1257
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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