Most Relevant Information
Provider Data
| NPI Number: | 1003209412 |
| Provider Name: | TRAVIS MILLS |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 19289 |
Most Important Dates
| Enumeration Date: | 03/09/2015 |
| Last Updated: | 03/09/2015 |
Provider Practice Location
2432 HUNTERS TRL
MYRTLE BEACH
SC
295888444
Practice Location Phone/Fax
| Phone: | 4237360357 |
| Fax: |
Provider Mailing Location
2432 HUNTERS TRL
MYRTLE BEACH
SC
295888444
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |