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Contact Information

TRAVIS C KONZELMAN, AGNP
1350 WALTON WAY
AUGUSTA, GA30901
 Phone: 706-722-9011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRAVIS C KONZELMAN · (Male)

NPI Number 1407247158
Status Active
Credentials AGNP
Entity Individual
Enumeration date 02/16/2015
Last updated 08/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN199709
  • GA Other RN199709 GA LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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