Provider Demographics
NPI:1154760601
Name:SIZEMORE, TRAVIS CHARLES (DO, MPH)
Entity type:Individual
Prefix:
First Name:TRAVIS
Middle Name:CHARLES
Last Name:SIZEMORE
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2015 2ND AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-7889
Mailing Address - Country:US
Mailing Address - Phone:864-881-8500
Mailing Address - Fax:864-278-0526
Practice Address - Street 1:103 FAIRVIEW POINTE DR
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-3223
Practice Address - Country:US
Practice Address - Phone:864-881-8500
Practice Address - Fax:864-278-0526
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03937207RR0500X, 207RR0500X
SCDO35700207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology