Slaughter, Traci

Slaughter, Traci is an individual health care provider with primary practice located at 378 Perimeter Rd , Dawsonville GA 30534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Slaughter, Traci can be contacted via phone (678) 389-6509.

Contact Information

Primary practice address
378 Perimeter Rd Dawsonville GA 30534
Phone: (678) 389-6509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN107276 Georgia

Profile Details

NPI number 1043221070
LBN Legal business name Slaughter, Traci
Credentials FNP/C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 15th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043221070 NPPES
Georgia MEDICAID 003143259A

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