Provider Demographics
NPI:1992337034
Name:TRAMMELL, WHITNEY SLOAN BANCROFT (PA-C)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:SLOAN BANCROFT
Last Name:TRAMMELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:SLOAN
Other - Last Name:BANCROFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:SAUL DERMATOLOGY
Mailing Address - Street 2:5002 HWY 39 NORTH BUILDING A
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301
Mailing Address - Country:US
Mailing Address - Phone:601-512-0500
Mailing Address - Fax:
Practice Address - Street 1:5002 HIGHWAY 39 N BLDG A
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-1078
Practice Address - Country:US
Practice Address - Phone:601-512-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical