Provider Demographics
NPI:1780749861
Name:PRITCHETT, JOHN TRAVIS (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TRAVIS
Last Name:PRITCHETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:409 COLEMAN BLVD
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4391
Mailing Address - Country:US
Mailing Address - Phone:843-881-5776
Mailing Address - Fax:843-881-7617
Practice Address - Street 1:409 COLEMAN BLVD
Practice Address - Street 2:SUITE 1-A
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4391
Practice Address - Country:US
Practice Address - Phone:843-881-5776
Practice Address - Fax:843-881-7617
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC160262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry