Jeffcoat, William Travis

Jeffcoat, William Travis is an individual health care provider with primary practice located at 109 Health Way , Anderson SC 29621-3333. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Jeffcoat, William Travis can be contacted via phone (864) 224-5700.

Contact Information

Primary practice address
109 Health Way Anderson SC 29621-3333
Fax: (864) 226-0680
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X TL1830 South Carolina

Profile Details

NPI number 1437400363
LBN Legal business name Jeffcoat, William Travis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2012
Last updated Apr 19th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437400363 NPPES
South Carolina Other P01616415 RR MEDICARE
South Carolina MEDICAID 1671PA RR MEDICARE

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