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

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