Individual
MRS. NIKKI ORCIUCH TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3850 PLEASANT HILL RD, DULUTH, GA 30096-4807
(770) 814-8222
(678) 205-5111
Mailing address
3850 PLEASANT HILL RD, DULUTH, GA 30096-4807
(770) 814-8222
(678) 205-5111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6321
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003152697B
—
GA
05
—
003152697C
—
GA
05
—
003152697D
—
GA
Enumeration date
11/15/2011
Last updated
11/13/2015
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