Nicole Ann Raicik, PA-C

NPI #1255192035 in Jasper, Alabama

Provider Information

NPI Number: 1255192035
Entity Type: Individual
Name: Nicole Ann Raicik, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 19, 2024
Last Updated: Jan 19, 2024

Practice Location

Address: 3400 HIGHWAY 78 E
City: Jasper
State: Alabama
ZIP Code: 35501-8956
Phone: (205) 387-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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