Whitehead, Travis David
Whitehead, Travis David is an individual health care provider with primary practice located at 6 Player Ct Nw , Rome GA 30165-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Whitehead, Travis David can be contacted via phone (706) 291-0301.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20444 | South Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 054047 | Georgia |
Profile Details
| NPI number | 1992748297 |
|---|---|
| LBN Legal business name | Whitehead, Travis David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 29th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992748297 | NPPES |
| Georgia | MEDICAID | 053109813A |
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