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NPI Code Detail

MEDICARE: DARREN JOSEPH TRAFTON PAC

MEDICARE: DARREN JOSEPH TRAFTON PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant001000246NC

General Provider Information

NPI Number : 1699755900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN JOSEPH TRAFTON PAC
Provider Business Mailing Address
First Line : 2739 IRON GATE DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-3731
Country : US
Telephone Number : 910-763-7363
Fax Number : 910-251-8296
Provider Business Practice Location Address
First Line : 2739 IRON GATE DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-3731
Country : US
Telephone Number : 910-763-7363
Fax Number : 910-251-8296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 02/04/2025

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Directions to “ DARREN JOSEPH TRAFTON PAC” Practice Location

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