Orciuch Traylor, Nikki
Orciuch Traylor, Nikki is an individual health care provider with primary practice located at 3850 Pleasant Hill Rd , Duluth GA 30096-4807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Orciuch Traylor, Nikki can be contacted via phone (770) 814-8222.Contact Information
Primary practice address
3850 Pleasant Hill Rd
Duluth GA 30096-4807
Phone: (770) 814-8222
Fax: (678) 205-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 6321 | Georgia |
Profile Details
| NPI number | 1982981155 |
|---|---|
| LBN Legal business name | Orciuch Traylor, Nikki |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2011 |
| Last updated | Nov 13th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982981155 | NPPES |
| Georgia | MEDICAID | 003152697D | |
| Georgia | MEDICAID | 003152697C | |
| Georgia | MEDICAID | 003152697B |
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