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Individual

TRAVIS A STUCKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
81 MEDICAL PARK LOOP, SUITE 202, SYLVA, NC 28779-5291
(828) 586-7705
(828) 586-7714
Mailing address
PO BOX 149, SYLVA, NC 28779-0149
(828) 586-7705
(828) 586-7714

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
P103179
NC
363AM0700X
Medical Physician Assistant
Primary
2013
SC

Other

Enumeration date
11/10/2005
Last updated
11/11/2020
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