Provider Demographics
NPI:1265107502
Name:TRAYNHAM, ANDREW MICHAEL CHARLES (PA-C)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:MICHAEL CHARLES
Last Name:TRAYNHAM
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:106 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26187-1506
Mailing Address - Country:US
Mailing Address - Phone:425-210-4291
Mailing Address - Fax:
Practice Address - Street 1:800 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5376
Practice Address - Country:US
Practice Address - Phone:304-424-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant