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Individual

SHARON MAULDEN TRAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4265
(229) 758-8473
Mailing address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4265
(229) 758-8473

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2800122
FL
363LF0000X
Family Nurse Practitioner
RN286002
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003220858A
GA
05
302246300
FL
Enumeration date
07/13/2007
Last updated
03/07/2024
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