Individual
ALICIA C. TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9200 MARTIN LOOP, COLUMBUS, GA 31905-5647
(706) 544-1251
Mailing address
9200 MARTIN LOOP, COLUMBUS, GA 31905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN 064716
GA
Other
Enumeration date
10/19/2006
Last updated
04/19/2010
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