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Contact Information

TRAVIS WOUND CLINIC
99 JOHN TRAVIS RD
POPLARVILLE, MS39470-7419
 Phone: 404-368-4140
 Fax: 404-368-4140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TRAVIS WOUND CLINIC

NPI # 1427920990
LBN Legal business name TRAVIS WOUND CLINIC
Authorized official CONSUELA TRAVIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2025
Last updated 09/23/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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