person
Mrs. Lucille Travis, NP
Primary Care Nurse Practitioner in Hiram, Georgia
NPI 1093206674

Lucille Travis is a Primary Care Nurse Practitioner based in Hiram, GA and is specialized in Primary Care. Lucille Travis practices in Hiram, GA and has the professional credentials of NP. The NPI Number for Lucille Travis is 1093206674 and holds a License No. RN195568 (Georgia).

The current practice location address for Lucille Travis is 4095 Atlanta Hwy, Hiram, GA and can be reached out via phone at 404-488-9521 and via fax at 404-836-8030.

Location: 4095 Atlanta Hwy, Hiram, GA, 30141-1854
person
Provider Profile Details
NPI Number
1093206674
Provider Name
Lucille Travis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4095 Atlanta Hwy, Hiram, GA, 30141-1854
Phone Number
404-488-9521
Fax Number
404-836-8030
Provider Enumeration Date
05/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4095 Atlanta Hwy
City
State
Zip
30141-1854
Phone Number
404-488-9521
Fax Number
404-836-8030
person
Provider Business Mailing Address Details
Address
4095 Atlanta Hwy
City
State
Zip
30141-1854
Phone Number
404-488-9521
Fax Number
404-836-8030
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN195568 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
RN195568 (Georgia)
Definition
Definition to come...
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