Irina Sidorenko

NPI #1740898279 in Grayson, Georgia

Provider Information

NPI Number
1740898279
Entity Type
Individual
Name
Irina Sidorenko
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Jul 21, 2020
Last Updated
Nov 19, 2021

Practice Location

Address
2311 RIDGE FOREST DR
State
Georgia
ZIP Code
30017-1718
Phone
(678) 656-6819

Specialties & Taxonomy Codes

Specialty
Surgery
Physician Assistant - SurgicalSurgical

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