Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shacora Travis

Individual provider Contractor · NPI 1245774025

Shacora Travis is a Contractor in Quitman, Georgia. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

1200 Carney Rd
Quitman, GA 31643
Phone: (229) 305-0802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1245774025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2016
Last updated in NPPESDecember 13, 2016
Mailing address1200 Carney Road, Quitman, GA 31643

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