Individual
TRAVIS ELCANEY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
PO BOX 4096, ONEIDA, TN 37841-4096
(423) 223-3658
Mailing address
PO BOX 4096, ONEIDA, TN 37841-4096
(423) 223-3658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6537
TN
Other
Enumeration date
05/23/2025
Last updated
09/04/2025
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