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Individual

MS. TRAVONDA DAVIS PIRTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5651 FRIST BLVD STE 712, HERMITAGE, TN 37076-2061
(615) 872-9966
(615) 872-9967
Mailing address
5651 FRIST BLVD STE 712, HERMITAGE, TN 37076-2061
(615) 872-9966
(615) 872-9967

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-02350
NC
363AM0700X
Medical Physician Assistant
Primary
2824
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8101401
NC
Enumeration date
07/09/2010
Last updated
07/21/2022
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