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Individual

TRAVIS JAMES AULTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC

Contact information

Practice address
2000 16TH AVE BLDG 3, COLUMBUS, GA 31901-1665
(706) 320-3126
(706) 320-3054
Mailing address
340 HOSPITAL DR, MACON, GA 31217-3838
(478) 445-5486

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN315388
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN315388
GA

Other

Enumeration date
02/20/2023
Last updated
06/17/2025
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